ArticleJournal of children's orthopaedics2020
Limb lengthening in the treatment of posteromedial bowing of the tibia.
Article in Journal of children's orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 13 citations in OpenAlex.
- Remodelling of deformities and resolution of shortening in congenital posteromedial bowing of the tibia.Journal of orthopaedic surgery and research · 2025Article
- The mechanical test as a supplemental decision support tool for the safe removal of an Ilizarov circular external fixator.European journal of medical research · 2025Observational
- Lengthening in congenital posteromedial bowing of tibia: a follow-up series at skeletal maturity.International orthopaedics · 2024Article
- Evolution of the angular deformity and limb length discrepancy of congenital posteromedial bowing of the tibia over time.Joint diseases and related surgery · 2022Article
- Bony callus stiffness indirectly evaluated by the axial load-share ratio in vivo as a guide to removing a monolateral external fixator safely.International orthopaedics · 2021Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePosteromedial bowing of the tibia is an uncommon but recognized congenital lower extremity deformity in children that can lead to limb length discrepancy (LLD) and residual angulatory deformity. The purpose of this study is to report a series of children at a single institution with posteromedial bowing treated by lengthening.
methodsA retrospective review was carried out at our institution identifying 16 patients who were treated with limb lengthening for posteromedial bowing of the tibia and followed to skeletal maturity. Projected LLD was a mean of 7.7 cm (range 5.0 cm to 14.2 cm). Three patients were treated in a staged fashion with lengthening and deformity correction at age three to four years and subsequent definitive tibial lengthening. The remaining 13 patients were treated with limb lengthening approaching adolescence using circular external fixation.
resultsAll patients were pain free and ambulated without a limp at final follow-up. The mean final LLD was 0.3 cm short. In spite of correction of distal tibial shaft valgus in 11 of the 16 patients, eight of the 16 (50%) required later correction of persistent, symptomatic ankle valgus by either hemiepiphyseodesis (seven patients) or osteotomy (one patient).
conclusionsChildren with posteromedial bowing of the tibial with projected LLD over 5cm can be effectively treated with lengthening. Patients with severe valgus of more than 30° of shaft valgus and difficulty ambulating at age three years can be successfully treated with a two-stage lengthening procedure. Attention should be paid in patients with posteromedial bowing to ankle valgus. LEVEL OF EVIDENCE: IV.
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