Genu Varum Research Articles

Revision Transtibial Medial Meniscal Root Repair With Concomitant Medial Opening-Wedge Proximal Tibial Osteotomy

Background: Complete meniscal root tears disrupt dispersion of axial loading forces through hoop stresses. This increases point-loading on tibiofemoral cartilage and leads to chondromalacia and accelerated osteoarthritis (OA). Posterior root tears may be treated successfully with a transtibial pullout repair. Varus malalignment also leads to increased medial compartment pressures, increasing the risk of early OA and putting increased stress on the meniscus and stabilizing knee ligaments. In particular, revision medial meniscal root repairs without correction of varus malalignment are at increased risk of failure. Genu varum may be corrected with a medial opening-wedge proximal tibial osteotomy (OW PTO). Indications: Meniscal root repairs are indicated for acute or chronic tears in active patients with healthy cartilage. OW PTO is indicated for varus malalignment in ambulatory patients with healthy cartilage, or who are at risk for failure of meniscal or ligamentous procedures. Technique Description: After exposure of the osteotomy site, arthroscopy is performed through the incision and the revision posterior meniscus root repair is performed via a double-tunnel transtibial pullout technique. The positioning of these tunnels is modified superiorly so as to not cross the planned osteotomy site. The osteotomy is then performed by drilling 2 guide pins under fluoroscopy to delineate the plane of the cut. An OW plate is placed, and the root repair is tensioned last. Results: Double-tunnel transtibial pullout repairs increase meniscal fixation contact surface and have been shown to be biomechanically superior to all-inside fixation techniques. Medial OW PTO restores knee alignment and reduces supra-anatomic stresses in the medial compartment, additionally decreasing the risk of a revision medial meniscus repair failure. Discussion: Biomechanical studies have shown that meniscal root tears are functionally equivalent to complete meniscectomy. Varus malalignment increases the risk of medial meniscal tears, and reduces the risk of a successful long-term repair. We describe a technique for a revision transosseous posterior root repair with concomitant proximal tibial osteotomy, with discussion of surgical pearls and pitfalls. This technique restores anatomic position and native function of the medial meniscus while correcting tibiofemoral malalignment that could jeopardize the repair. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form.

Conservative Physiotherapy for Grade 4 Osteoarthritis Secondary to Genu Varum Deformity: A Case Report

Osteoarthritis (OA) is a prevalent form of degenerative joint disease that primarily affects the knees, leading to a gradual loss of function, severe pain, joint stiffness, and reduced quality of life. Despite its severity, exercise treatment offers promising results and proves beneficial for a wide range of patients. Preoperative rehabilitation for OA patients often involves therapeutic approaches such as exercise treatment, electrotherapy, and manual therapy. The present case revolves around a 58-year-old male diagnosed with OA in both knees, with the presence of genu varum deformity. A personalised preoperative rehabilitation protocol was designed based on his specific symptoms of pain, stiffness, and difficulties in daily activities. The case study highlights the effectiveness of the preoperative physical therapy approach for managing bilateral osteoarthritic knees with genu varum deformity.

Contributions of the Distal Femur and Proximal Tibia to Idiopathic Genu Varum and Genu Valgum in Adolescents

Contributions of the Distal Femur and Proximal Tibia to Idiopathic Genu Varum and Genu Valgum in Adolescents

Bow leg deformity among school students of Chandigarh: A comparative study

Bow leg deformity among school students of Chandigarh: A comparative study

Management of post-traumatic genu valgus deformity in adolescent by proximal tibial corticotomy with bone lengthening by Ilizarov method: a case report

Introduction: Genu Valgus and Varus are the most common lower limb deformities at knee level, seen in childhood. Genu valgus is more common about 10%, where knee/knees turn inward, causing the appearance of the knees to be touching each other while the ankles remain apart. Genu Valgus is a normal physiological process in children’s; it may be pathological due to various causes. Physiological genu valgus is greatest at the age of 3-4 years and spontaneously resolves by the age of 7 years. When valgus deformity is persistent or worsening after 7 years of age is called pathological genu valgus. Cosmetic abnormality is common complaint. Abnormal circumduction gait, knees touching on medial aspect and LLD found on examination. Plan x-ray A/P view in standing position of full both lower limbs with pelvis provides diagnosis and treatment plan information. Case presentation: A 15 years old girl came with the complaints of abnormal walking due to right knee bending inwards, also during standing position. She was perceived pain in right knee during walking and longtime standing position. She has H/O- fractured proximal tibia (Rt.) more than 6 months ago due to trauma and treated by plaster. Plaster removed after 3 months. One month later she developed pain in knee joint during walking and right knee gradually bend inwards. O/E- Bil genu valgus right > left. Clinically, right knee -300 and left knee -100 There was 1.5 cm shortening of right lower limb than left. Both right and left lower limb with pelvis full radiograph was done. In x-ray both femurs and knee joints were normal. In radiograph, the medial and lateral surface of right tibia with fibula bends medially. Left tibial surfaces and fibula appears almost normal. The right tibia at the point of 14 cm from upper end there was maximum angulation point. The degree of genu valgus was evaluated by CORA method and treatment plan set accordingly. There was 300 medial bending of right tibial shaft and about 100 of left tibial shaft. The patient was diagnosed as post traumatic unilateral right tibial genu valgus following proximal tibia fracture. The patient was treated by proximal tibial corticotomy with Ilizarov frame. Aim: The aim of the treatment is restoration of normal mechanical axis. Objective: To assess the effectiveness and outcomes of the treatment method. Result: After complete union and consolidation, substantial evidence was checked and confirmed by both clinical and radiological. There was no abnormal gait and pain during walking. Mechanical axis of right lower limb was restored as normal. The final outcome is excellent. Conclusion: Genu valgus is common in children and observation is the first line of treatment. Physiological variant treated conservatively. Pathological genu valgus needs management according the cause. When surgical correction is indicated, corrective osteotomy usually done but there is so many complications and needed repeated surgery. In post-traumatic proximal tibial genu valgus effectively corrected by Ilizarov with corticotomy, which minimize complications, Due to early mobilization and decrease hospital stay time, resulting cost effective and found excellent final outcome.

Comparing the Effects of Eight Weeks of Running on a Treadmill and on the Ground on Electrical Muscle Activity of Young Men With Genu Varum

Background and Aims Weakness in the knee muscles and other components of the knee joint can cause various complications, including the genu varum. This study aims to investigate the effects of eight weeks of running on a treadmill and on the ground on muscle activities in individuals with genu varum. Methods This is a quasi-experimental and laboratory study. Forty-five young men with genu varus were randomly divided into three groups: control, ground-based training, and treadmill training. Running exercises were performed for eight weeks in the training groups. The electrical activity of selected muscles was recorded by an electromyography system. For statistical analysis, repeated measures analysis of variance was used. The significant level was set at 0.05. Results In the treadmill training group, the electrical activity of the biceps femoris and gastrocnemius medialis muscles increased significantly after training during the heel contact phase. In the ground-based training group, the electrical activity of the biceps femoris and vastus latralis muscles significantly increased after training. In the swing phase of running, the electrical activity of the tibialis anterior, gluteus medius, and semitendinosus muscles was also significantly increased after training in the ground-based training group Conclusion It seems that running on a treadmill may have been effective in improving muscle activity and preventing the progression of the knee genu varum.

The Effect of Exercise Training and Support Tools on Biomechanics of Transitional Movements in People with Genu Varum: A Review Study

The Effect of Exercise Training and Support Tools on Biomechanics of Transitional Movements in People with Genu Varum: A Review Study

Syndromic growth retardation caused by impaired function of the ribosomal protein eL13

Growth retardation for more than 2 SD below the average population or presumed familial target height is classified as ashort stature and may be a clinical manifestation of a large number of disorders. The use of the latest methods of molecular genetic analysis in recent years has allowed for a better understanding of the pathogenesis of inherited forms of a short stature. One of the recently discovered mechanisms of this pathology was monoallelic mutations inRPL13gene, leading to thedevelopment of Isidor-Toutain type spondyloepimetaphyseal dysplasia (SEDM).Characteristic phenotypic features for this form are normal birth length, early postnatal growth deficiency, platyspondyly, proximal femoral epiphyseal changes, coxa vara, genu varum. This study presents the clinical and radiological characteristics of the first patient in the Russian -Federation with SEMD caused by a mutation inRPL13gene.

Recurrence and Complication Rates of Surgical Treatment for Blount's Disease in Children: A Systematic Review and Meta-Analysis.

Blount's disease is a growth disorder of the proximal tibia that causes progressive genu varum in children. Surgical treatment is recommended if the deformity worsens, but which intervention is best remains controversial. This study aims to identify factors influencing outcomes and determine the most effective surgical approach. A systematic review was conducted of studies published before January 2022. In total, 63 retrospective studies with CEBM IIIb/IV levels were included (1672 knees in 1234 patients). The most commonly reported treatment was acute correction via osteotomy (47%), followed by hemiepiphysiodesis (22%) and gradual correction (18%). Combined procedures were reported in 13% of cases. The overall recurrence rate was 18%, with a significant difference when comparing the recurrence rates after gradual correction with those after hemiepiphysiodesis (7% and 29%, respectively). Major complications beyond recurrence were observed in 5% of cases. A meta-analysis of the available raw data showed a significantly increased recurrence rate (39%) among treated children who were between 4.5 and 11.25 years of age and were followed for a minimum follow-up of 2.5 years. Overall, poor evidence with which to establish an optimal treatment for Blount's disease was found. This study remarked on the need for early diagnosis, classification, and treatment of infantile tibia vara, since a significant rate of recurrence was found in neglected cases.

THU394 Disease Burden Of X-Linked Hypophosphatemia Focused On The United States And Canada: A Targeted Literature Review

Abstract Disclosure: Z. Li: Employee; Self; Employee of Kyowa Kirin, Inc., Princeton, NJ, USA. O. Zaidi: Other; Self; Employee of OPEN Health and received funding to complete this research. C. Chukwu: Other; Self; Employee of OPEN Health and received funding to complete this research. H. Heerssen: Other; Self; Employee of Kyowa Kirin, Inc., Princeton, NJ, USA. Y. Zhao: Other; Self; Employee of Kyowa Kirin, Inc., Princeton, NJ, USA. A. Dale: Other; Self; Employee of Kyowa Kirin, Inc., Princeton, NJ, USA. M. Bernauer: Other; Self; Employee of OPEN Health and received funding to complete this research. Introduction: X-linked hypophosphatemia (XLH) is a rare genetic musculoskeletal disease and the most common form of heritable hypophosphatemic rickets. The objective of this review was to summarize the disease burden and treatment patterns of XLH in the United States (US) and Canada. Methods: Publications from January 1, 2015, to June 3, 2022, were searched using the Medline, Embase, and EconLit databases. Observational studies reporting epidemiology, humanistic burden, economic burden, and treatment patterns in the US and Canada were included. Evidence on epidemiology, humanistic burden, and treatment patterns was expanded to other countries as limited US and Canada studies were identified. Results: A total of 1,218 publications were screened; 42 publications were included (6 from US or Canada; 36 did not report location or were from other countries). Epidemiology data (i.e., incidence, prevalence, mortality) were limited for patients with XLH in the US and Canada. The estimated number of people in the US with XLH was <50,000 in 2021. Globally, the incidence of XLH was estimated at 3.9 per 100,000 live births, and the prevalence ranged from 1.4 per 100,000 to 4.8 per 100,000. One United Kingdom-based study estimated an XLH mortality rate of 12.1 per 1,000 person-years. Sixteen publications reported clinical manifestations of XLH, which showed a high level of heterogeneity. Among children with XLH, frequent clinical manifestations (>80% in 1 or more publications) included active rickets, diminished height, gait disturbance, bone or joint pain, and leg bowing. Among adults with XLH, frequent clinical manifestations (>80% in 1 or more publications) included short stature, leg deformity, musculoskeletal pain, fatigue, osteoarthritis, enthesophytes, gait disturbance, dental abscesses, and joint stiffness or restricted range of motion. Humanistic burden data from the US was limited to 2 non-trial publications, which used, respectively, the 36-Item Short Form Survey (SF-36) and the Knee Injury and Osteoarthritis Outcome Score-Physical Function Shortform (KOOS-PS) instruments. These 2 publications reported lower health-related quality of life for patients with XLH compared with the general population. No publication was identified on economic burden, treatment patterns, or XLH guidelines in the US or Canada. A consensus statement from a US panel of experts recommends individualization of monitoring and disease management due to clinical heterogeneity. Conclusions: There are limited published data on disease burden or treatment patterns for XLH in the US or Canada. Further research should consider the epidemiological, humanistic, and economic burden of XLH among pediatric and adult populations in these countries. Presentation: Thursday, June 15, 2023

Management of medial femorotibial osteoarthritis: Epidemiology, and survival of unicompartmental knee arthroplasty versus valgus high tibial osteotomy in France. Study of 108,007 cases from the French National Hospitals Database

IntroductionUnicompartmental knee arthroplasty (UKA) and valgus high tibial osteotomy (HTO) are two options for isolated medial femorotibial osteoarthritis in genu varum. In the absence of registries for osteotomies and for arthroplasty in the knee, epidemiological data are hard to obtain in France. We therefore performed a retrospective study, with the aims of: 1) estimating UKA and HTO survival without revision by total knee arthroplasty (TKA), and 2) assessing risk factors for revision according to treatment group. HypothesisMedium-term survival is better with HTO than UKA in under-70-year-olds. Materials and methodAll elderly patients undergoing HTO or UKA in the French National Hospitals Database for the period 2011–2020 were included: i.e., 108,007 patients; 43,537 HTO (29,330 male, 14,207 female; mean age 49.7 years, 95% CI 49.6–49.8) and 64,470 UKA (31,181 male, 33,289 female; mean age 60.5 years, 95% CI 60.5–60.6). ResultsSurvival free of revision by TKA was 75.8% (95% CI=75.2–76.4) for UKA and 80.6% (95% CI=80.0–81.3) for HTO (p<0.00001). In UKA, revision risk factors comprised: low annual center volume (<17 UKAs per year) (HR=1.50; 95% CI=1.41–1.59), obesity (HR=1.25; 95% CI=1.18–1.32), and age <60years, with maximum risk for 50–59years (HR=2.41; 95% CI=1.83–3.16 in 50–59 year-olds). In HTO, revision risk factors comprised: obesity (HR=1.42; 95% CI=1.31–1.53), rheumatoid arthritis (HR=2.75; 95% CI=1.37–5.51), joint chondrocalcinosis (HR=2.01; 95% CI=1.18–3.39), and age >60years (HR=8.81; 95% CI=7.23–19.73 in 60–69-year-olds). Male gender was a protective factor against revision in both groups: UKA, HR=0.75 (95% CI=0.72–0.79); HTO, HR=0.73 (95% CI=0.69–0.77). The number of UKAs increased over the years, matching the increase in arthroplasty in France, with a decrease in HTOs until 2019. ConclusionHTO showed better medium-term survival than UKA in under-70-year-olds in France. Even so, indications decreased in favor of UKA, although the respective risk factors differ. These findings suggest that conservative surgery still has a role, depending on osteoarthritis stage. Level of evidenceIII; retrospective comparative study.

Treatment of pediatric genu varum by temporary hemiepiphysiodesis using 8-shaped plate

Treatment of pediatric genu varum by temporary hemiepiphysiodesis using 8-shaped plate

The effects of Q angle and Hamstring Length on Balance Performance in Patients with Lumbar Disc Hernia

Aim: Patellafemoral angle (Q angle) and Hamstring length are important measurements to evaluate balance. This study aims to examine the effects of Q angle and Hamstring length on balance performance in patients with lumbar intervertebral disc herniation (LDH). Material and Methods: LDH (n=32) and control group (CG)(n=30) were included in the study. Q angles and hamstring muscle lengths of the participants were measured. Balance was evaluated with Y balance test. Results: As a result of our study, no difference was found between LDH patients and CG groups in terms of hamstring muscle length; Q angle decreased in LDH patients and there was a negative high correlation between Q angle and R -Anterior, R-Posteromedial, R-Posterolateral values on the right and between Q angle and L-Anterior, L-Posteriolmedial, L-Posterolateral values on the left. Conclusion: It was found that Q angle measurements decreased in LDH patients, causing genu varum and leading to impairment in balance, especially in the left anterior, anteromedial and anterolateral.

A Case of X-Linked Hypophosphatemia: Exploring the Burden in a Single Family and the Significance of a Multidisciplinary Approach

A 46-year-old lady was diagnosed clinically with X-linked hypophosphatemia (XLH) with a rare pathogenic variant detected using exome sequencing. Phosphate-regulating endopeptidase homologous X linked (PHEX) is normally expressed in osteoblasts and osteocytes, and senses phosphate regulation. More than 1000 PHEX variants have been detected to date, which are caused by missense, nonsense, and frameshift mutations in addition to splice variants and copy number changes. The aberration in the PHEX gene leads to the upregulation of fibroblastic growth factor 23 (FGF23), which leads to defects in phosphate metabolism. This results in impaired bone growth and mineralization, short and disproportionate stature, leg bowing, musculoskeletal pain, spontaneous dental abscesses, rickets, and osteomalacia in XLH patients. The spectrum of manifestations differs between pediatric and adult patients. In our case study, two of the patient’s children started showing symptoms at a younger age, unlike their mother. Timely diagnosis and the start of treatment would help in their better management and improved quality of life.

Comparison of the Effectiveness of Two Corrective Exercise Methods (NASM) and Corrective Games on Genu Varum in Boys Aged 10-12

Comparison of the Effectiveness of Two Corrective Exercise Methods (NASM) and Corrective Games on Genu Varum in Boys Aged 10-12

Effect of 8-Week Use of Knee Braces on the Electrical Activity Frequency of Lower Limb Muscles in Men With Genu Varus While Walking

Background and Aims Genu varus is one of the most common lower limb deformities that can affect a person’s daily activities and sports performance. This study aims to investigate the effect of the 8-week use of knee braces on the electrical activity frequency of muscles in men with genu varus during walking. Methods This is a quasi-experimental study on 30 male college students with genu varus (aged 20-30 years) who were randomly divided into control and intervention groups. Corrective exercises were performed for 8 weeks using knee braces in the intervention group. The electrical activity of selected muscles was recorded by an electromyography system. For statistical analysis, ANCOVA was used. The significance level was set at 0.05. Results During the loading phase, the results showed a lower frequency of biceps femoris muscle in the intervention group compared to the control group (P=0.041). The frequency of muscles did not show any significant difference between groups in the mid-stance and push-off phases (P&gt;0.05). Conclusion Given the decrease in the frequency of biceps femoris muscle activity in men who used knee braces, it can be concluded that the 8-week use of these brace can be effective in reducing shock absorption in the lower extremity.

Quadriceps Angle Measurement in Adolescents With Short Stature: Exploring the Relationship Between Postural Alignment and Lower Limb Mechanics.

Background The quadriceps angle (Q angle) is measured as an angle formed by two lines that extend from the anterior superior iliac spine to the midpoint of the patella and from the midpoint of the patella to the tibial tuberosity. The average Q angle value for children aged between seven to 12 years was 13.1˚±3.5˚in boys and 13.7˚±4.9˚ in girls, whereas 8˚-15˚ in men and 12˚-19˚ in women. Abnormal variation in Q angle is associated with patellofemoral pain syndrome, lateral patellar malposition, dislocation, chondromalacia patella, patella alta, genu varum, etc. Methodology The present study explores the status of Q angle values among adolescents with short stature and their comparison with age and gender-matched children between 10 and 15 years of age. Results We found a statistically significant difference between the Q angle value in the control group and the male with short stature group aged 14-15 years, with a mean difference of 3.7˚. However, among females, there was a significant difference between the control group and the short-stature group aged 12-13 and 14-15 years, with a mean difference of 2.8˚ and 2.5˚, respectively. Implications Early detection and timely remedial measures, e.g., quadriceps strengthening exercises, before skeleton maturity can prevent Q angle-related misalignments and abnormalities in the limb.

The Effect of Q Angle and Hamstring Length on Balance Performance in Gonarthrosis Patients.

Introduction Gonarthrosis (G) is a progressive disease that affects the knee joint and causes pain and limitation of movement in the knee. The determination of the morphometric status of G patients has been a subject of interest recently. The purpose of this study is to determine how hamstring length (HL) and patellofemoral angle (Q angle [QA]) affect the ability of individuals with G to maintain balance. Methods A total of 80 (40 G patients and 40 in the control group [CG]) participants aged 40-65 were included in the study. A goniometer was used to measure the participants' QA. The mean age of the participants was 50.18±7.16 in the G group and 51.40±6.64 in CG. HL was measured using the sit-and-reach test. Participants' dynamic balance state was evaluated using the Y balance test by stepping in the following directions: right-anterior (R-An), right-posteromedial (R-Pm), right-posterolateral (R-Pl), left-anterior (L-An), left-posteromedial (L-Pm), and left-posterolateral (L-Pl). Results According to the results of this research, the balance performance of G patients was significantly lower in all directions (R-An, R-Pm, R-Pl, L-An, L-Pm, L-Pl) compared to the CG. In both groups, R-QA, L-QA, and HL did not change. However, linear regression analysis indicated that in G patients, R-QA, L-QA, and HL affected balance performance. No significant interaction was found between these parameters and balance performance in the CG. Conclusion HL and QA have a significant role in determining body balance. In our study, we found that QA decreased in G patients, leading to genu varum in these individuals. The hamstring muscle shortening observed in G patients significantly negatively affected balance, especially in the R-An, R-Pm, L-An, L-Pm, and L-Pl directions. For healthcare professionals preparing treatment protocols for G patients, we recommend providing exercises to improve balance, especially in these directions.

Epiphyseal-entry cannulated screws for temporary guided growth of the knees: a retrospective review of 89 cases.

Guided growth affects the physis in children to produce a desired effect. Several devices achieve alteration of growth, including staples, plates, and screws. Complications can include device failures, failure to modulate growth as expected, and unintended physeal arrest. We present the results of a unique technique designed to minimize these complications. This was a retrospective review of guided growth at the knee at a single institution utilizing cannulated screws with epiphyseal-entry points. Each case was reviewed to determine the presence of complications related to guided growth, including implant breakage, implant pull-out or pull-through, iatrogenic physeal arrest, failure to modulate growth, and the incidence of revision surgeries. There were 89 patients who had 146 epiphyseal-entry guided growth procedures with a total of 221 4.5 mm cannulated screws. There were no iatrogenic physeal arrests. Five (2.26%) screws in 4 (4.49%) patients had either a broken screw or screw pull-out/pull-through requiring revision procedures. Three patients had osteotomies after skeletal maturity. Four had revision-guided growth for other reasons: 2 due to a lack of timely follow-up, 1 for iatrogenic genu varum without implant failure, and 1 due to recurrent deformity after implant removal. Revision procedures were unanticipated in 6 (6.74%) patients. This study describes a technique for placing cannulated screws at the knee with epiphyseal starting points. Our rate of complications and number of revision surgeries compare favorably with those noted for other techniques. Guided growth using epiphyseal-entry cannulated screws is a safe, effective option for most patients.

Correction of tibial multiplanar deformities using single Taylor external fixator combined with biplanar osteotomy

To investigate the effectiveness of single Taylor external fixator combined with biplanar osteotomy on correction of tibial multiplanar deformities. Between October 2016 and December 2021, 11 patients with tibial multiplanar deformities (20 sides) were treated with single Taylor external fixator and biplanar osteotomy. Of them, 4 were male and 7 were female; the average age ranged from 13 to 33 years (mean, 21.9 years). Diagnosis included rickets severe genu varum deformity (7 cases, 14 sides), rickets severe genu valgum deformity (2 cases, 4 sides), multiple osteochondromatosis calf deformity (1 case, 1 side), neurofibromatosis medial lower leg anterior arch deformity with short of leg (1 case, 1 side). After fibular osteotomy and tibial multiplanar osteotomy, a Taylor external fixator was installed. After operation, the deformities were corrected successively and fixed completely. The osteotomy healed, then the external fixator was removed. Before operation and at 12 months after operation, the full-length X-ray films were taken. The leg-length discrepancy, medial proximal tibial angle (MPTA), lateral distal tibial angle (LDTA), posterior proximal tibial angle (PPTA), anterior distal tibial angle (ADTA), and tibial rotation angle were measured. The degree of lower limb deformity was scored with reference to a customized tibial mechanical axis scoring table. Osteotomy was successfully completed without neurovascular injury and other complications. The external fixator was adjusted for 28-46 days, with an average of 37 days, and the external fixator was worn for 136-292 days, with an average of 169 days. Mild needle infection during the fixation period occurred in 3 sides, refracture at the distal tibial osteotomy in 1 side after removing the external fixator, and nonunion of the distal fibular osteotomy in 1 side. All patients were followed up 369-397 days (mean, 375 days). At 12 months after operation, the lower limb discrepancy decreased, but there was no significant difference ( P>0.05). MPTA, LDTA, PPTA, ADTA, and tibial rotation angle improved, and the differences in LDTA, ADTA, and tibial rotation angle were significant ( P<0.05). The score of lower limb deformity was significantly higher than that before operation ( P<0.05), and the results were excellent in 9 sides, good in 8 sides, fair in 3 sides, with the excellent and good rate of 85%. Single Taylor external fixator combined with biplanar osteotomy is effective in the correction of tibial multiplanar deformities.