Brace based Mechanical axis deviation (MAD) of lower limb correction in a Pediatric patient with severe femoral and tibial bowing - A case based description

Genu varum is a Latin term used to describe bow legs. It is a common finding in the pediatric population with a large differential spectrum which includes but not limited to Blount’s disease, rickets, Post infective & post traumatic physeal injuries and physiologic bowing of the legs. The femoral intercondylar distance between the two knees is increased in this condition and it can have a unilateral or bilateral involvement. In the case of genu varum, the mechanical axis falls more inside beyondthe middle ofthe knee joint and the joint undergoes an increased non-physiological stress which can affect both the articular cartilage of the knee and its ligaments. Here we present a case of a 3 year old girl with severe varus deformity of both lower legs which was successfully managed with Brace based correction technique in the lower limbs.