Deformity Correction in Lower Limb Using Multiple Corrective Osteotomies

Lower limb deformities, whether congenital or acquired, can lead to significant functional impairment and affect the quality of life. Surgical correction aims to restore limb alignment, improve function, and prevent long-term complications. The modified Sofield–Miller technique, originally developed for osteogenesis imperfecta, has proven effective in managing complex deformities Sofield and Millar popularized the operation of multiple osteotomies and fixation by intramedullary rods. A 20-year-old female came with complaints of pain and deformity of her right side thigh and leg. She was then admitted and evaluated radiologically for femur and tibia deformities along with 3D reconstructed printing. Multiple osteotomies, realignment, and fixation by intramedullary nail were done. A 21-year-old male patient came with congenital deformity of the left lower limb. Patient presented to us with complaints of difficulty in ambulation and doing routine activities, after evaluation, deformity was corrected using osteotomy and plate osteosynthesis of distal femur and proximal tibia. The Sofield–Millar procedure has proved to be an effective method of correcting bony deformities in osteogenesis imperfecta. The intramedullary rod served as an internal strut to support the bone. Wedge osteotomies allow for precise correction of localized angular deformities with minimal bone loss. When applied judiciously based on individual deformity patterns, these techniques restore proper limb alignment, enhance mobility, and significantly improve functional and cosmetic outcomes.