The outward angulation of elbow with supinated forearm is cubitus varus deformity.This deformity is often seen as sequelae of malunited supracondylar fracture of humerus in paediatric age group of 5-8 years.The deformity is usually non-progressive,but in cases of physeal injury or congenital bony bar formation in the medial condyle of humerus,the deformity is progressive and can be grotesque in appearance.Various types of osteotomies are defined for standard non-progressive cubitus varus deformity,while multiple surgeries are required for progressive deformity until skeletal maturity.In this study we described a novel surgical approach and osteotomy of distal humerus in a 5 years old boy having grotesque progressive cubitus varus deformity,achieving good surgical outcome.