Correction of Adolescent Tibia Vara Without Fibular Osteotomy and Without Fixation of the Fibula Using the Taylor Spatial Frame (TSF)

Adolescent tibia vara can present as a complex three-dimensional deformity of the tibia: varus, procurvatum, and internal tibial torsion (Gordon JE et al. J Bone Joint Surg Am 87:1561–1570, 2005). Standard treatment protocol usually includes an osteotomy of the proximal tibia and a fibular osteotomy. When utilizing the Taylor spatial frame (TSF), the origin can be placed at the level of the proximal tibio-fibular joint. This will allow the correction to occur without the need for a fibular osteotomy (Eidelman M et al. J Child Orthop 2:199–204, 2008). We will present the treatment of this condition without a fibular osteotomy and without fixation of the fibula using the TSF.