Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 9 4 2023 12 30 180 4 Puttamaregowda Madhuchandra Professor, Department of Orthopedics, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India Keelara Pawankumar Associate Professor, Department of Orthopedics, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India Galla Sunil Santhosh Assistant Professor, Department of Orthopedics, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India 2022 12 30 2023 12 30 Background: Various fixation techniques have been described for osteotomy for correction of cubitus varus. Kirschner-wiring (K-wiring) was used in the past for fixation; however, rates of fixation failure and pin-track infection were high. Fixation with two screws and a figure-of-eight wiring provides a stable fixation in children younger than 15 years. Herein, we used a modified lateral approach and a figure-of-eight construct with two screws and evaluated the outcome. Methods: A case series comprising 35 patients out of the total of 54 patients who underwent modified French osteotomy between January 2013 to December 2021 was conducted retrospectively. Functional outcomes were assessed using the modified Mayo Elbow Performance Scoring (MEPS) system. Results: There were 22 male and 13 female subjects in the study group. We had excellent results in 16 cases, good outcomes in 13 cases, and fair outcomes in 6 cases. Superficial infection was seen in three patients and four patients had occasional negligible pain. In addition, there was no loss of correction or fixation failures in our study. Conclusion: Modified French osteotomy using two screws and figure-of-eight wiring is a simple and safe procedure that yields satisfactory outcomes. A careful preoperative planning, sufficient surgical technique, and stable fixation are key to achieving satisfactory functional outcomes. https://jost.tums.ac.ir/index.php/jost/article/view/456 https://jost.tums.ac.ir/index.php/jost/article/download/456/340