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Congenital anterolateral tibial bowing and polydactyly: a case report
Edmond G Lemire Journal of Medical Case Reports 2007, 1:54 doi:10.1186/1752-1947-1-54
Published 23 July 2007
Abstract (provisional) Congenital anterolateral bowing of the tibia is a rare deformity that may lead to pseudarthrosis and risk of fracture. This...

SOA Textbook Chapter in preparation
Torsion of the femur and tibia, as well as genu varum and genu valgum, are considered physiological variations of development that occur in normal infants and children. Infants commonly present with anteversion of the femur, medial tibial torsion and genu varum. With growth, the femoral anteversion...

Does Fibular Plating Improve Alignment After Intramedullary Nailing of Distal Metaphyseal Tibia Fractures? Journal of Orthopaedic Trauma. 20(2):94-103, February 2006. Egol, Kenneth A MD *; Weisz, Russell MD +; Hiebert, Rudi ScM *; Tejwani, Nirmal C MD *; Koval, Kenneth J MD ++; Sanders, Roy W MD + Abstract: Objective: Evaluate...

Focal dome osteotomy for the correction of tibial deformity in children. Journal of Pediatric Orthopaedics B. 14(5):340-346, September 2005. Dilawaiz Nadeem, R.; Quick, Thomas J.; Eastwood, Deborah M. Abstract: Tibial deformity in childhood often combines torsional and angular malalignment. A focal dome osteotomy was performed, proximally or distally, in 39 tibiae...

Wheeless IM naling of these fractures is technically difficult and often results in malalignment; surgeons without strong enthusiasm for nailing these fractures should consider lateral plating (for closed fractures)and external fixation for open fractures

AAOS Annual Meeting Abstract 2004 Logic and Clinical Application of Intramedullary Blocking Screws Scientific Exhibitor Number: SE058 Hans-Werner Stedtfeld, MD, Nurnberg, Germany Peter Landgraf, MD, Nurembeg, Germany Mr. Andreas Ewert, Rostock, D Germany Thomas W F Mittlmeier, MD, Rostock, Germany Following intramedullary fixation of metaphyseal long bone fractures high rates of...

Mechanical Axis Deviation: Definitions, Measurements and Consequences. Damian McCormack, International Fellow in Paediatric Orthopaedic Surgery, Atlanta Scottish Rite Hospital, Georgia, U.S.A. Mechanical axis deviations in the lower extremity are commonly seen in both paediatric and adult orthopaedic practice. This paper describes, for the trainee, the consequences of such deformity and the methods by which they...

Report from a Hong Kong surgeon on the 2004 Baltimore Limb Deformity Course

OTA 2002 - Session 10 Session X - Upper Extremity Sun., 10/13/02 Upper Extremity, Paper #63, 10:10 AM The Impacted Varus Proximal Humeral Fracture. Which Factors Affect Outcome? Charles M. Court-Brown, MD, FRCS; Margaret M. McQueen, MD, FRCS; Royal Infirmary of Edinburgh, Edinburgh, United Kingdom Purpose: A prospective analysis of 99...

OTA 2002 - Session 7 Session VII - Tibia Sat., 10/12/02 Tibia, Paper #48, 4:43 PM The Use of Hybrid Fixators in Proximal Tibia Fractures Roberto Varsalona, MD ; Bruce H. Ziran, MD; S. Avondo, MD; Q. Mollica, MD; University of Catagnia, Sicily, Italy; and University of Pittsburgh, Department of Orthopaedics,...

There are multiple etiologies for tibial bowing (see Etiology). Tibial bowing specifically refers to bowing of the diaphysis of the tibia with the apex of the deformity directed anterolaterally, anteromedially, or posteromedially. Each type of bowing tends to have a classic etiology.
Anterolateral bowing is associated with pseudarthrosis of the tibia...

18th Annual Meeting of the Orthopaedic Trauma Association New-generation tibial nails incorporate multiple holes in different planes in order to maximize options for interlocking and allow nailing of fractures near the proximal and distal ends of the tibia. Russell Weisz, MD,[25] from Tampa General Hospital in Tampa, Florida, presented "Distal Fourth...

Femoral anteversion decreases from approximately 40° at birth to approximately 15° at maturity. Lateral rotation of the tibia increases from approximately 5° at birth to approximately 15° at maturity.
Tibial torsion: Medial torsion improves with time. Lateral torsion often worsens because the natural progression is toward increasing external torsion. The ability...

Many proximal metaphyseal tibial fractures will become malaligned even if a lateral entry point is used. Malalignment in proximal tibial fractures is due to the use of improper nail entry sites and poor nail-to-bone contact in the metaphysis. The use of screws inserted in the sagittal plane that contact the... Expert