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Bilateral genu varum deformity correction in an adult by medial opening-wedge high tibial osteotomy without internal fixation
  1. Raju Vaishya,
  2. Abhishek Vaish,
  3. Aabid Husain Ansari and
  4. Sumit Suryant
  1. Orthopaedics and Joint Replcement Surgery, Indraprastha Apollo Hospitals, New Delhi, Delhi, India
  1. Correspondence to Professor Raju Vaishya; raju.vaishya{at}


A young adult man in 20s presented with bow leg deformity of both the knees, since childhood and bilateral knee pain for the last 4 years. Plain radiographs of both the knees confirmed bilateral genu varum deformity, more on the right side (16.2°) as compared with left (12.3°). He was managed surgically by a single-stage bilateral medial opening wedge high tibial osteotomy, using a synthetic bone substitute of a tri calcium phosphate. After the healing of osteotomies at 3 months, the patient was pain free and walked comfortably with normal lower limb alignment.

  • Orthopaedics
  • Osteoarthritis

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  • Contributors RV: provided study patient and main manuscript preparation. AV: critically reviewed the study proposal. AhA: main manuscript preparation. S: collected data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.