Bilateral Leg Defotmities
By: Dr Sarbjit Singh
Pre
Op
Bilateral severe leg deformities
Pre
Op
▪ 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
Final
Result

before

after

before

after
Final
Result