▪ 12 years old Indonesian female Chinese girl with
severe biteral leg bowing due to congenital renal
hypophosphatemia
▪ Walks with O-shaped deformiteis I=over both
legs since young and short statuture
Pre Op
▪ Underwent staged osteotomies for femur and
tibia at separate intervals
▪ Femur done using acute correction with
osteotomies at 2 levels and intramedullary
nailing
▪ Six months later bilateral tibia double-level
osteotomy and Ilizarov fixator applications
Post Op
Acute correctiion femoral deformities with nailing
Post Op
Tibia gradual correction at 2 levels with Ilizarov frame