Correction of Recurvatum Deformity with Osteotomy, External Fixator, and Epiphysiodesis

Angular deformities with limb length inequality are difficult to treat with acute correction. Gradual correction is therefore often utilized to treat these deformities. A 12 year old female had a left proximal femoral chondrosarcoma that was resected and reconstructed with a left free fibular osseous microvascular flap. She later developed an insidious anterior proximal tibial growth arrest which resulted in a limb length inequality of 4.5cm and a 20° recurvatum deformity. These were treated simultaneously with the application of a multiplanar external fixator (Taylor Spatial Frame, “TSF”) and epiphsyiodesis of the ipsilateral posterior proximal tibia. Sagittal plane deformities, such as recurvatum or procurvatum, with concomitant limb length inequality can readily be treated with gradual correction.