title: A modified Puddu technique for the treatment of adolescent mild to moderate tibia vara.
abstract: The aim of this work was to evaluate the results of a modified 'subphyseal' Puddu technique for the treatment of selected cases of the adolescent tibia vara. Twenty-five legs in 18 patients with adolescent tibia vara between January 2008 and February 2012 were included. The mean value of angular correction was 22.24° (range, 18°-25°, SD 2.0°). All of the osteotomies in this series healed by 8 weeks. There were no postoperative neurologic or vascular complications. At the end of follow-up, no iatrogenic disturbance to the proximal tibial physis was observed, but recurrence was reported in three cases (12%). The modified 'subphyseal' Puddu technique is a reproducible, easy, and convenient technique for the treatment of adolescent tibia vara, provided there is proper case selection.
authors.affiliation: Department of Orthopaedic Surgery, Damanhur National Medical Institute, Damanhur, Egypt.
authors.forename: Ashraf A
authors.initials: AA
authors.lastname: Khanfour
mesh_terms: D000293:Adolescent; D001848:Bone Diseases, Developmental / Q000601:surgery*; D001860:Bone Plates; D002648:Child; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D008297:Male; D055034:Osteochondrosis / Q000151:congenital* / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D011183:Postoperative Complications; D011446:Prospective Studies; D012008:Recurrence; D013977:Tibia / Q000601:surgery*