Children`s Orthopaedics

Growth retardation of medial and posterior proximal tibial physis & epiphysis due to abnormal weight bearing stress & compression force on varus knees
Increased compresion force on physis & epiphysis inhibit growth
Leading to tibia vara or bowed legs.
Not seen in infants before walking age & nonwalkers
Bilateral in 50 % of cases
Associated with internal tibial torsion
Caused by ? repetitive trauma & mechanical stress due to early weight bearing

(more…)