Simultaneous Correction of Medial Proximal Tibial Plateau Depression and Tibia Vara in an Obese Child with Blount’s

Older children with advanced stages of infantile Blount’s suffer from numerous current and future deformities. The medial proximal tibia physeal growth disturbance leads to an intra-articular deformity as well as overall genu varus, tibial torsion, and procurvatum. Premature medial physeal closure leads to axial shortening of the tibia and length mismatch with the normal growing fibula. This case details the concommitant treatment of the intra- and extra-articular deformities in an obese 8 year old child with advanced infantile Blount’s. An acute medial hemi-plateau elevation osteotomy was combined with a metaphyseal tibia osteotomy and gradual correction with a Taylor Spatial Frame. Epiphysiodesis was performed on the lateral tibia and proximal fibula physes to prevent future asymmetric growth.Obese Child