Tibia Spike Osteotomy for Genu Varum
The patient was brought to the operating room and placed supine on the operating table. After adequate general anesthesia was provided, a well-padded thigh tourniquet was placed. The lower extremity was then prepped and draped in the standard surgical fashion.
The lower extremity was exsanguinated with an Esmarch bandage and the tourniquet was inflated to 250 mm Hg. A 15 blade was used to make a 5 cm longitudinal incision in the middle third of the leg over the fibula. The bone was exposed subperiosteally and a 2 cm segment was resected. Prophylactic anterior compartment fasciotomy was next performed. The wound was closed in two layers: vicryl 3.0 for the subcutaneous tissue and monocryl 4.0 for the skin.