Proximal tibia vara involves the medial shift of the tibial articular surface

Modified Oblique Proximal Tibial Osteotomy for Deformity Correction of Tibia Vara (Blount Disease)

Background: In Blount’s disease, there is a complex three-dimensional deformity which typically includes varus, internal rotation, and (sometimes) procurvatum. The best way to obtain correction is with simple procedure carried out as high in the tibia as possible to promote rapid union, quick remodeling, and with minimal proximal shaft deformity. Patients and methods: 17 patients with tibia var...

Open wedge osteotomy of the proximal medial tibia for malunited tibial plateau fractures.

PURPOSE To review outcomes of open wedge osteotomy of the proximal medial tibia for malunited tibial plateau fractures. METHODS Seven men (mean age, 36 years) underwent open wedge osteotomy of the proximal medial tibia for instability secondary to malunited tibial plateau fractures of Schatzker types IV (n=3), V (n=1), and VI (n=3). Five patients had been treated conservatively and 2 surgical...

Infantile tibia vara.

Observations on the Etiology of Tibia Vara

Varus deformity at the upper end of the tibia was reported by Erlacher (1922) and LUlsdorf (1931), who considered it to be a type of osteochondritis. Blount (1937) presented a personal series of thirt en cases and reviewed fifteen cases from the literature. He called the condition tibia vara and suggested that the term osteochondrosis was more appropriate than osteochondritis. Further reports o...

Surgical implications of varus deformity of the knee with obliquity of joint surfaces.

Some arthritic knees with varus deformity show excessive valgus angulation of the femoral joint surface with proximal tibia vara. This causes a downward and medial inclination of the articular surfaces in the coronal plane. The patients we studied had a medial shift of the standing load-bearing axis, and arthritic changes mainly in the medial compartment. Some also had lateral tibial subluxatio...