An Overview on Treatment of Adolescent Tibiavara

Abstract

Adolescent tibiavara differs from infantile Blount’s disease in its pathophysiology and prognosis. It typically appears after the age of 10 years and tends to progress rapidly, often requiring surgical correction. Non-surgical approaches are generally ineffective once the deformity is established. Radiographic evaluation using Langenskiöld classification and mechanical axis deviation plays a key role in diagnosis and treatment planning. Surgical intervention, such as proximal tibial osteotomy with or without fibular osteotomy, remains the cornerstone of management. Techniques vary from acute correction with plating to gradual correction using external fixators.