Indian Journal of Orthopaedics

CASE REPORT
Year
: 2008  |  Volume : 42  |  Issue : 3  |  Page : 351--354

Infantile tibia vara: Treatment of Langenskiold stage IV


Salil P Umrani, Alaric J Aroojis 
 Department of Pediatric Orthopedics, Bai Jerbai Wadia Hospital for Children, Parel, Mumbai - 400 012, India

Correspondence Address:
Alaric J Aroojis
8/424 Church View, 14th Road, TPS III, Bandra, Mumbai - 400 050
India

An eight year old girl presented with a progressively increasing deformity of the left proximal tibia since last 2 years. She had no history of trauma, fever and swelling of left knee. There were no obvious signs of rickets/muscular dystrophy. She had 25 degrees of tibia vara clinically with lateral thrust and a prominent fibular head. The radiograph of left knee revealed tibia vara with medial beaking and a significant depression of the medial tibial epiphysis and metaphysis. A computed tomography (CT)scan revealed significant depression of the medial tibial epiphysis but no bony bar in the physis or fusion of the medical tibial epiphysis. There was a posterior slope in addition to the medial one. She was treated with elevation of the medial tibial hemiplateau with subtuberosity valgus derotation dome osteotomy. She also underwent a lateral proximal tibial hemiphysiodesis (temporary stapling). A prophylactic subcutaneons anterolateral compartment fasciotomy was also performed. All osteotomies united in 2 months. All deformities were corrected and she regained a knee range of 0 to 130 degrees. At final followup (4 years), there was no recurrence of varus deformity, knee was stable, with 1cm of leg length discrepancy. In Langenskiold stage IV tibia vara, elevation of medial tibial plateau, a subtuberosity valgus derotation osteotomy and a concomitant lateral hemiephiphysiodesis has given good results.


How to cite this article:
Umrani SP, Aroojis AJ. Infantile tibia vara: Treatment of Langenskiold stage IV.Indian J Orthop 2008;42:351-354


How to cite this URL:
Umrani SP, Aroojis AJ. Infantile tibia vara: Treatment of Langenskiold stage IV. Indian J Orthop [serial online] 2008 [cited 2014 Sep 20 ];42:351-354
Available from: http://www.ijoonline.com/article.asp?issn=0019-5413;year=2008;volume=42;issue=3;spage=351;epage=354;aulast=Umrani;type=0