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Previously published series of surgery for late-onset tibia vara reported a significant number of complications and fair or poor results. Obesity in many of these patients makes surgical intervention an even more daunting prospect. Circular external fixation is applicable to almost any limb size and
Tibia vara is characterized by inhibited growth of the medial portion of the proximal tibial growth plate, leading to progressive bowleg deformity. Twenty-nine adolescent patients with this condition were reviewed: all were black, 27 (93%) were male, and 19 (66%) had only one side affected.
BACKGROUND
Four percent of children and adolescents in the United States are morbidly obese. Treatment for tibia vara includes proximal tibial osteotomy and correction with a Taylor Spatial Frame (TSF). There are no reports that specifically examine the success of this technique in morbidly obese
Morbid obesity and its association with obstructive sleep apnoea syndrome have been increasingly recognised in children. Orthopaedic surgeons are often the primary medical contact for older children with tibia vara, which has long been associated with obesity, but are unfamiliar with the evaluation
We describe three cases of infantile tibia vara resulting from an atraumatic slip of the proximal tibial epiphysis upon the metaphysis. There appears to be an association between this condition and severe obesity. Radiologically, the condition is characterised by a dome-shaped metaphysis, an open
Neglected infantile Tibia Vara is a very challenging clinical problem with many technical problems including distorted joint line secondary to the medial tibial plateau depression, obesity leading to difficulty in exposure, performing osteotomies and difficulty in osteotomy fixation. The aim of this
OBJECTIVE
To find the effectiveness of the early surgery (2-3 years of age)as a very important prognostic factor affecting the outcomes in Thai children with infantile tibia vara and all the prognostic factors including the usefulness of arthrographic study in correcting the deformity.
METHODS
From
OBJECTIVE
Clinical, and radiological aspects and treatment of adolescent tibia have been studied in a review of 19 children native of the Caribbean.
METHODS
23 cases of adolescent tibia vara in 19 children have been collected (14 males and 5 females, aged from 9 to 14).
METHODS
Clinical aspects
Between 1983 and 1990, 9 patients with 13 involved lower extremities had proximal tibial osteotomies for the treatment of adolescent tibia vara. Average age at the time of onset was 11 years, 8 months. All patients were black and obese. The interval between awareness of the bowleg deformity and
Tibia vara and slipped upper femoral epiphysis (SUFE) share a common risk factor, but their relationship is unclear. In both conditions, the patients are usually obese. To the best of our knowledge, there have been only two previous reports in the literature that have described the occurrence of
Adolescent tibia vara is less common and less well described when compared to infantile tibia vara. Yet, the two share a significant number of features related to their epidemiology and histology. The two diseases differ most in their radiographic appearance. It does not, however, necessarily follow
Since Blount's classic article was published in 1937, many authors have contributed to the knowledge of tibia vara. Tibia vara is characterized by an abrupt angulation of the tibia into varus in the proximal end. The term does not reveal the etiology of the anatomic deformity, which may be
The Bardet-Biedl syndrome is characterized by polydactyly, hypogonadism, obesity, mental retardation, and retinitis pigmentosa. Several other skeletal findings include hip dysplasia, short stature, and skull deformities. The patient described in this report has the classic findings of Bardet-Biedl
OBJECTIVE
To identify if pre-surgical risk factors or the surgical technique were associated with the complications of the osteotomy in genu varus patients.
METHODS
A case-control study was conducted in patients that underwent Maquet proximal tibial osteotomy for treatment of genu varus between