KNEE & LEGA modified Puddu technique for the treatment of adolescent mild to moderate tibia varaKhanfour, Ashraf A. Author Information Department of Orthopaedic Surgery, Damanhur National Medical Institute, Damanhur, Egypt Correspondence to Ashraf A. Khanfour, FRCS Ireland, MD, 25 Garden City Somoha, Alexandria 21615, Egypt Tel: +20 010 033 11476; e-mail: [email protected] Journal of Pediatric Orthopaedics B: January 2016 - Volume 25 - Issue 1 - p 37-42 doi: 10.1097/BPB.0000000000000233 Buy Metrics Abstract The aim of this work was to evaluate the results of a modified ‘subphyseal’ Puddu technique for the treatment of selected cases of the adolescent tibia vara. Twenty-five legs in 18 patients with adolescent tibia vara between January 2008 and February 2012 were included. The mean value of angular correction was 22.24° (range, 18°–25°, SD 2.0°). All of the osteotomies in this series healed by 8 weeks. There were no postoperative neurologic or vascular complications. At the end of follow-up, no iatrogenic disturbance to the proximal tibial physis was observed, but recurrence was reported in three cases (12%). The modified ‘subphyseal’ Puddu technique is a reproducible, easy, and convenient technique for the treatment of adolescent tibia vara, provided there is proper case selection. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.