Quadruple osteotomy: A simple approach to treat “O” deformity in hypophosphatemic rickets

Abstract

Multiple deformities of femur and tibia in a child are known to occur in various conditions such as multiple hereditary exostosis, polyostotic fibrous dysplasia, Osteogenesis imperfecta, achondroplasia, multiple epiphyseal dysplasia, and rickets. For severe deformities and hypophosphatemic rickets, surgical correction is invariably required. A 6-year-old female child presented with deformities in bilateral lower limbs (O Deformity), stunted growth, and a waddling gait. We discuss multiple osteotomies and fixation with locking compression plate's as an excellent surgical option for better outcome.

Keywords

• fixation with locking compression plate's
• “o” deformity
• osteotomy
• rickets