Acute Correction of Severe Tibia Vara by (V) Shaped Osteotomy Using Ilizarov Fixator

Children with late-onset tibia vara present with a marked genu varum deformity that usually develops in middle childhood or early adolescence, and it is usually accompanied by obesity [6] . In these cases, the inhibition of growth may result in premature medial physeal arrest [7] , which might explain the relative success of a single valgus osteotomy in the management of the earlier onset cases (60-75%) and the relative lack of its efficacy in cases with the later onset form. In these latter cases, complex and combined osteotomies might be required in the majority of the children (6065%) [4,5] .