PMC9482215_01
PMC9482215_02
clinical photograph showing extensive bowing of bilateral lower limbs
PAMJ-42-161-g001.jpg
PMC9482215_02_PAMJ-42-161-g001.jpg
F1
In addition, no clinical signs of rickets like frontal bossing, widening of wrists, and rachitic rosary except bowing of legs were present (Figure 1).
weight-bearing radiographs of lower limbs showing medial intorsion of bilateral tibia with metaphyseo-diaphysial angle to be 25o on the right side and 20o on the left side
PAMJ-42-161-g002.jpg
PMC9482215_02_PAMJ-42-161-g002.jpg
F2
Radiographs of lower limbs showed medial intorsion of bilateral tibia with metaphyseo-diaphysial angle of 25o on the right side and 20o on the left side which was beyond the physiological normal angulation (Figure 2).
lateral view of radiographs of knee joint showing posterior projection of proximal tibial metaphysis
PAMJ-42-161-g003.jpg
PMC9482215_02_PAMJ-42-161-g003.jpg
F3
The lateral view of radiographs of knee joint showed posterior projection of proximal tibial metaphysis (Figure 3).
post-operation radiograph showing significant correction in bowing of legs
PAMJ-42-161-g004.jpg
PMC9482215_02_PAMJ-42-161-g004.jpg
F4
Follow-up and outcome of interventions: on follow-up, a significant correction in bowing was observed (Figure 4) with much improved gait and mobility.