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Forum Name: Bone trauma and fractures

Question: How serious is a bowed tibia?

 Yarien - Mon Jun 07, 2010 6:48 pm

My 6 year old nephew broke his tibia and fibula in August 3, 2009. For a while we thought he needed surgery because his tibia was displaced but he's doctor in the end came to the conclusion that the fracture would heal with a cast. A couple of months later the cast came off and he was limping for a couple of weeks but it passed, he started to walk normally. Now, 6 months later we took him to get an x ray because he's appointment with the doctor is coming up soon; but when we got the result he's bone has healed up completely but the tibia has a bow. How serious is this bow on his tibia?
 Dr.M.Aroon kamath - Sun Jun 13, 2010 5:51 am

User avatar Hi,
you have not provided details of the extent & direction of angulation of the tibia.However, i will try to give you a general ouline.

generally accetable reduction consists of:
- > 10 deg of angulation in any plane;
- < 5 deg of varus or valgus;
- < 10 deg of anterior or posterior angulation &
- < 10 deg of rotation.
As i am not aware of the extent of angulation, i can't be perhaps more specific.

Usual indications for operative correction:
- varus deformity of more than 6-10 deg;
- valgus deformity of more than 10-12 deg;
- internal rotation deformity of more than 10-15 deg;
- external rotation deformity more than 15-20 deg &
- shortening of more than 2 cm.
Your orthopedic surgeon will be able to guide you as to whether any surgical intervention may be needed.
Best wishes!

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