Indian Journal of Medicine and Healthcare

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Effect of Bracing on Rate of Resolution in Postero-medial Bowing of Tibia: A Short Term Case Study


Affiliations
1 National institute for the orthopaedically handicapped, BT road, Bon Hooghly, Kolkata-700090, India
2 2Prosthetist & orthotist, Endolite India Pvt. Ltd, 47-A, Diamond Harbour road, Kolkata-700038, India
 

Congenital postero-medial bowing of the tibia (PMBT) and fibula is an uncommon anomaly of unknown etiology and pathogenesis. It is associated with soft tissue contractures at the dorsum of the ankle joint. Evidence suggested that the role of bracing is to improve its function, but none proposed the impact of orthosis on early resolution of mal-position. This case study documents the use of dynamic, hinged ankle foot orthosis using therapeutic stretching techniques in a three years, four months child with PMBT and its relation with rate of resolution of deformity and gait. Direct relationship between bowing angle and leg length discrepancy was observed. The use of brace indicates a higher rate of resolution and an improved symmetrical gait by placing the foot flat to allow walking . Thus, the innovative design for Ankle foot orthosis treatment used in this study is effective in controlling the progression of the deformity and preventing other associated complications.

Keywords

Ankle Foot Orthosis, Gait, Malposition, Posteromedial Bowing, Resolution
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  • Pappas AM (1984) Congenital posteromedial bowing of the tibia and fibula. J. Pediatric Orthopedics, 4(5), 525-531.

  • Yadav SS and Thomas S (1980) Congenital posteromedial bowing of the tibia. Acta Orthopaedica Scandinavica . 51(2), 311-313.

  • Jugesh I Cheema, Leslie E Grissom and Theodore Harcke H (2003) Radiographic Characteristics of Lower-Extremity Bowing in Children. RadioGraphics. 23, 871-880.

  • John D Hsu, John W Michael, John R Fisk (2008) AAOS Atlas of orthoses and assistive devices. 4th edn. Mosby. Elsevier. pp: 460-462.

  • Rastogi R (2008) Congenital unilateral bowing of Tibia and Fibula. MJAFI. 64, 295-296

  • Hofmann A and Wenger DR (1981) Posteromedial bowing of the tibia. Progression of discrepancy in leg lengths. J. Bone & Joint Surgery-American. 1981, 63(3), 384-388.

  • Shah, Hitesh H Doddabasappa, Siddesh N Joseph and Joseph (2009) Congenital posteromedial bowing of the tibia: a retrospective analysis of growth abnormalities in the leg. J. Pedia. Orthopaedics B. 18(3), 128-130.

  • Bray CB and Follows JW (1975) Congenital posterior angulation of tibia and fibula. Southern Med. J. 68(3), 292-296.


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  • Effect of Bracing on Rate of Resolution in Postero-medial Bowing of Tibia: A Short Term Case Study

Abstract Views: 504  |  PDF Views: 351

Authors

R. K. Mohanty
National institute for the orthopaedically handicapped, BT road, Bon Hooghly, Kolkata-700090, India
P. Kumari
2Prosthetist & orthotist, Endolite India Pvt. Ltd, 47-A, Diamond Harbour road, Kolkata-700038, India

Abstract


Congenital postero-medial bowing of the tibia (PMBT) and fibula is an uncommon anomaly of unknown etiology and pathogenesis. It is associated with soft tissue contractures at the dorsum of the ankle joint. Evidence suggested that the role of bracing is to improve its function, but none proposed the impact of orthosis on early resolution of mal-position. This case study documents the use of dynamic, hinged ankle foot orthosis using therapeutic stretching techniques in a three years, four months child with PMBT and its relation with rate of resolution of deformity and gait. Direct relationship between bowing angle and leg length discrepancy was observed. The use of brace indicates a higher rate of resolution and an improved symmetrical gait by placing the foot flat to allow walking . Thus, the innovative design for Ankle foot orthosis treatment used in this study is effective in controlling the progression of the deformity and preventing other associated complications.

Keywords


Ankle Foot Orthosis, Gait, Malposition, Posteromedial Bowing, Resolution

References