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Management of Progressive Unilateral Tibia Vara in a 3-Year-Old Child with Focal Fibrocartilaginous Defect: A Case
Unnam Arjun Kumar1, Vivek M Sodhai, Sandeep A Patwardhan
1Department of Paediatric Orthopedics, Sancheti Institute for Orthopedics and Rehabilitation, Pune, India.
Case:
A 3-year-old boy with unilateral tibia vara was diagnosed with focal fibrocartilaginous dysplasia (FFCD) of the left proximal tibia. Because of progressive deformity with intercondylar distance of 9 cm and tibia metaphyseal-diaphyseal angle of 28°, the child was treated with curettage of the lesion and lateral proximal tibia hemiepiphysiodesis with 8 plates. The deformity was corrected within 12 months, the implant was removed, and the child is being followed up till skeletal maturity.
Conclusion:
Curettage of the lesion and guided growth with an 8-plate is a viable treatment method for FFCD of the proximal tibia with progressive tibia vara deformity.
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