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A 3-year-old boy sustained a minimally displaced proximal metaphyseal tibia fracture of the left leg 6 months ago that was treated with a molded long leg cast. His current AP radiograph is shown in Figure A. What is the most appropriate management?
Follow-up radiographs in 6 months
Ring fixator placement with distraction osteogenesis
Hemiepiphyseodesis of the proximal tibia
Follow-up radiographs in 3 months and placement of knee-ankle-foot (KAFO) orthosis
Closing wedge proximal tibial osteotomy
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A 5-year-old girl falls off of a trampoline and sustains a tibia fracture. The tibia fracture is reduced and placed into a long leg cast in the emergency room. A post-reduction radiograph is provided in Figure A. The parents should be counseled that a temporary tibial deformity may occur. Which of the following best describes the potential deformity?
A 6-year-old child sustained a closed nondisplaced proximal tibial metaphyseal fracture 1 year ago. She was treated with a long leg cast with a varus mold, and the fracture healed uneventfully. She now has a 15-degree valgus deformity. What is the next step in management?
Proximal tibial/fibular osteotomy with acute correction and pin fixation
Proximal tibial/fibular osteotomy with gradual correction and external fixation
MRI of the proximal tibial physis
Medial proximal tibial hemiepiphysiodesis