Midterm results of a single stage medial epiphysioloysis with high tibial osteotomy in treatment of severe infantile tibia vara

Abstract

Objectives: Assessment of treatment of severe infantile tibia vara by high tibial osteotomy and epiphysiolysis of the proximal medial tibia. Patient and methods: Between January 2009 and May 2014, 14 cases of severe tibiae vara were treated by medial epiphysiolysis and high tibial vulgus osteotomy. Mean age at operation was 7 years (range 5-8 years). Preoperative radiological assessment was done by long x-ray film anteroposterior and lateral. Post-operative clinical and radiological follow up for four years. Postoperatively, the patient is monitored for resumption and continuation of growth. The procedure was successful in restoring growth and correction of angular deformity. Result: All cases had good results with no recurrence and no post-operative complications with mean full up of four years. Conclusions: Medical epiphysiolysis combined with high valgus osteotomy is a good alternative for recurrent osteotomies in cases of severe tibia vara as it restores proximal tibial growth.