Early walking, large stature, obesity
Bracing and surgery
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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
A 15-year-old male presents with pain and progressive deformity about his left knee. A standing AP radiograph is seen in figure A, with the tibial growth plate nearly closed. Physical examination reveals significant varus and a leg-length discrepancy of 2.5cm right greater than left. Which of the following is the most appropriate method of management at this time?
Hemiepiphysiodesis of the left proximal tibia, medial side only
Epiphysiodesis of the left proximal tibia
Left proximal tibia osteotomy with placement of lengthening external fixator
Left proximal tibia osteotomy with plate fixation
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