PROXIMAL TIBIAL OSTEOTOMY WITH COMPRESSION PLATE FIXATION FOR TIBIA VARA

A surgical technique for the accurate intraoperative correction of tib ia vara deformities with maintainence of postoperative alignment is pr esented. This was a retrospective study of 13 knees of nine patients w ith tibia vara deformities treated by proximal tibial and fibular oste otomies using compression-plate fixation. Average age of the patients was 9 + 1 years, with a range of 3 + 1 to 14 + 11 years. The average p reoperative deformity was 20-degrees of varus with a range of 15-36-de grees. Average follow-up was 3 + 3 years, with a range of 2 to 4 + 1 y ears. All patients had intraoperative correction to an average valgus of 5-degrees (range 4-8-degrees valgus), with an overall valgus correc tion of 25-degrees (range 20-40-degrees). There was one reoperation fo r unilateral recurrence of deformity in a child who progressed from st age III to stage VI postoperatively. Proximal tibial osteotomy with co mpression-plate fixation provides an accurate and reliable method for the correction of multiplanar deformities in children and adolescents.