Combined distal tibial rotational osteotomy and proximal growth plate modulation for treatment of infantile Blount’s disease

Figure 1 The girl had the diagnosis of bilateral infantile tibia vara with bilateral internal tibial torsion. A: 3 years old girl, standing showing genu Varum; B: Pre operative clinical picture showing the marked internal rotation of both lower extremities. Note the relation between the feet direction and the patella (outlined by skin marker); C: Pre operative radiograph showing the gneu varum, mechanical axis deviation and the proximal medial tibial physeal changes.