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Mechanical Failure of the OrthoPediatrics PediPlate in Late-Onset Tibia Vara with Moderate DeformityA Report of Three Cases
Megan E. Mignemi, MD1; Jeffrey E. Martus, MD2
1 Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, 1215 21st Avenue South, Medical Center East, South Tower, Suite 4200, Nashville, TN 37232
2 Monroe Carell Jr. Children’s Hospital, Vanderbilt University Medical Center, 2200 Children’s Way, 4202 Doctors’ Office Tower, Nashville, TN 37232. E-mail address: jeff.martus@vanderbilt.edu
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Investigation performed at Vanderbilt University Medical Center, Nashville, Tennessee



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 May 22;3(2):e48 1-6. doi: 10.2106/JBJS.CC.L.00209
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Extract

Late-onset tibia vara typically affects obese children and adolescents. While varus of the proximal part of the tibia is the primary deformity, there may be associated varus or valgus of the distal part of the femur1,2. Tibia vara may be classified as mild, moderate, or severe, based upon the mechanical axis zone3. Proximal tibial osteotomy is an option for treatment, but because of the potential morbidity associated with osteotomy, hemiepiphysiodesis is an appealing minimally invasive alternative to provide gradual correction with guided growth.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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