Bilateral Genu Varum and LLD Corrected with an Internal Lengthening IMN and Contralateral HTO

Genu varum is typically a tibial deformity that affects many people. When symptomatic, surgical realignment through a proximal tibial osteotomy is a powerful technique for reducing pain, improving function, and, perhaps, preventing osteoarthritis. The following case is unique in that the patient presented with a right-sided femoral deformity with shortening and a left-sided tibial deformity. This asymmetric pattern of genu varum is rare and highlights the need for accurate radiographic analysis and customized treatment plans. In addition the case highlights the utility of the PRECICE IMN (Ellipse Technologies Inc., Irvine, CA, USA) for acute correction and lengthening of femur deformities.