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Proximal tibial osteotomy with compression plate fixation for tibia vara
S D Martin1, M C Moran, T L Martin
1Hospital for Special Surgery, New York, NY 10021.
Journal of Pediatric Orthopedics
|September 1, 1994
Summary
This study presents a surgical technique for correcting tibia vara deformities in children using proximal tibial and fibular osteotomies. The method accurately corrects varus deformities, maintaining alignment post-surgery.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Skeletal Deformity Correction
Background:
- Tibia vara, a condition causing inward bowing of the leg, requires effective surgical correction.
- Maintaining postoperative alignment is crucial for successful tibia vara treatment in pediatric patients.
Purpose of the Study:
- To present a surgical technique for accurate intraoperative correction of tibia vara deformities.
- To evaluate the efficacy of proximal tibial and fibular osteotomies with compression-plate fixation in maintaining postoperative alignment.
Main Methods:
- Retrospective study of 13 knees in nine pediatric patients with tibia vara.
- Treatment involved proximal tibial and fibular osteotomies using compression-plate fixation.
- Patients' ages ranged from 3 years 1 month to 14 years 11 months.
Main Results:
- Average preoperative varus deformity was 20 degrees (range 15-36 degrees).
- Intraoperative correction achieved an average of 5 degrees valgus (range 4-8 degrees).
- Overall average valgus correction was 25 degrees (range 20-40 degrees).
- One patient required reoperation for deformity recurrence.
Conclusions:
- Proximal tibial osteotomy with compression-plate fixation is an accurate and reliable method for correcting multiplanar deformities in children and adolescents.
- The presented surgical technique effectively addresses tibia vara while maintaining postoperative alignment.