ABSTRACT
We treated 14 patients [20 extremities] suffering from adolescent tibia vara. The mean age at the time of the operation was 16.1 [13-20] years. There were 10 [71.4%] males and 4 [28.6%] females. Six [42.9%] had bilateral deformity. Ten patients [71.4%] were either obese or over-weight. The pre-operative tibio-femoral angle was in varus and ranged between 196 to 182 degrees. All the patients were treated by medially opended wedge osteotomy of the upper end of tibia below the tibial tubercle. The osteotomy was kept open by impacted bicortical cancellous bone graft. All the patients were followed up for a period ranged between 9-20 months. The mean post-operative tibio-femoral angle was 176 [172-183] degrees. The patellar tendon height was not changed post-operatively. Only one patient had keloid scaring of her tibial wound. No vascular or neurological complications were reported. Medially opened wedge osteotomy was safe, effective, and stable osteotomy for the treatment of adolescent tibia vara