Percutaneous upper tibial osteotomy for management of Genu Varum in pediatrics

Abstract

Introduction A large proportion of referral from primary care to pediatric orthopedic clinic involve bowed legs Gemu Varum). It is important for treating surgeon to understand the normal developmental pattern of a child's lower limbs in order to ascertain what is physiologic and what is pathologic. A common pathologic causes of genu varum includes Blount's disease, Rickets, Epiphyseal dysplasia and post-traumatic genu varum. Different types of surgical procedures have been described for correction of genu varum in pediatrics. Methods: In this study the authers have used a minimal invasive technique of percutaneous upper tibial osteotomy. we have operated twenty case of bilateral genu varum 40 tibiae). with a mean follow up of six months, correction was maintained by using cast only without any internal fixation.