Vitamin D-Resistant Hypophosphatemic Rickets Treated by Double-Level Femoral Osteotomy with Internal Fixation and Proximal Tibial Osteotomy with Gradual Deformity Correction
摘要
Fourteen year old female with left leg varus (femur and tibia) associated with significant tibial torsion and 2 cm Leg Length Discrepancy (LLD) secondary to vitamin D-resistant rickets previously treated with bilateral 8-plate growth modulation and double-level femoral closing wedge osteotomy with retrograde intramedullary nail fixation. The patient underwent proximal tibial and midshaft fibular osteotomies followed by gradual varus deformity correction and acute tibial derotation via circular external fixation.