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In 894 children from 40 included studies, the mean age at initial injury was 5.7 years (3 to 8.6) and 9.8 years (4 to 15.7) at the time of secondary correction. The four osteotomy techniques were classified as lateral closing wedge, dome, complex (multiplanar) and distraction osteogenesis. A mean angular correction of 27.6\u00ba (18.5\u00b0 to 37.0\u00b0) was achieved across all classes of osteotomy. The meta-analytical summary estimate for overall rate of good to excellent results was 87.8% (95% CI 84.4 to 91.2). No technique was shown to significantly affect the surgical outcome, and the risk of complications across all osteotomy classes was 14.5% (95% CI 10.6 to 18.5). Nerve palsies occurred in 2.53% of cases (95% CI 1.4 to 3.6), although 78.4% were transient. No one technique was found to be statistically safer or more effective than any other.<\/jats:p><jats:p>Cite this article: Bone Joint J 2014;96-B:691\u2013700.<\/jats:p>","DOI":"10.1302\/0301-620x.96b5.32296","type":"journal-article","created":{"date-parts":[[2014,5,1]],"date-time":"2014-05-01T15:08:48Z","timestamp":1398956928000},"page":"691-700","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":83,"title":["Supracondylar osteotomy for the treatment of cubitus varus in children"],"prefix":"10.1302","volume":"96-B","author":[{"given":"D. A.","family":"Solfelt","sequence":"first","affiliation":[{"name":"Meriter Hospital, 202 South Park Street, 2 East Madison, Wisconsin, 53715, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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