A 6-month-old boy had posteromedial bowing of the tibia. The most appropriate treatment is
|B||Application of a cylinder cast|
|C||Application of a total contact orthosis|
|D||Osteotomy, intramedullary nailing, and bone grafting|
a. Posteromedial bowing of the tibia is not associated with other musculoskeletal conditions and is not likely to result in fracture or pseudarthrosis.
b. The posterior bowing eventually corrects, while the medial bowing may persist. In the older child, osteotomy is occasionally necessary to correct residual medial bowing. Orthotics are unnecessary.