case_images: PMC9933149_01
case_images: Severe bilateral genu valgum deformity.
case_images: cureus-0015-00000033863-i01.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i01.jpg
case_images: FIG1
case_images: Radiological investigations showed dysplastic proximal lateral tibial epiphysis (Figure 1) along with a proximal tibial exostosis (Figure 2).
case_images: X-ray of bilateral knee with leg: A) dysplastic lateral tibial plateau of right knee (blue arrow). B) Dysplastic lateral tibial plateau of left knee (blue arrow) with exostosis in the proximal tibial region (yellow arrow).
case_images: cureus-0015-00000033863-i02.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i02.jpg
case_images: FIG2
case_images: Radiological investigations showed dysplastic proximal lateral tibial epiphysis (Figure 1) along with a proximal tibial exostosis (Figure 2).
case_images: X-ray of bilateral hands: A) Polydactyly in the right hand (blue arrow). B) Polydactyly in the left hand (blue arrow).
case_images: cureus-0015-00000033863-i03.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i03.jpg
case_images: FIG3
case_images: Radiographs of the wrist and hand showed post-axial polydactyly (Figure 3).
case_images: Radiological assessment measuring the tibio-femoral angle (red), lateral distal femoral angle (blue), medial proximal tibial angle (green) in right (A) and left (B) lower limbs.
case_images: cureus-0015-00000033863-i04.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i04.jpg
case_images: FIG4
case_images: As a part of the radiological assessment, the radiological angles were calculated (joint orientation angles and tibio-femoral angles) on both sides (Figure 4) (Table 1).
case_images: Persistent bilateral genu valgum deformity.
case_images: cureus-0015-00000033863-i05.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i05.jpg
case_images: FIG5
case_images: The correction following this surgery was not significant and the patellae were still dislocated and the patient still had difficulty walking (Figures 5, 6).
case_images: Laterally dislocated patella (white arrow).
case_images: cureus-0015-00000033863-i06.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i06.jpg
case_images: FIG6
case_images: The correction following this surgery was not significant and the patellae were still dislocated and the patient still had difficulty walking (Figures 5, 6).
case_images: The procedure was planned in stages with the right side operated on first.
case_images: cureus-0015-00000033863-i07.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i07.jpg
case_images: FIG7
case_images: The right lower limb was operated on first followed by the left limb 15 days later (Figure 7).
case_images: Patient able to squat at five-year follow-up.
case_images: cureus-0015-00000033863-i08.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i08.jpg
case_images: FIG8
case_images: She was able to perform her daily activities without any problems (Figures 8-11).
case_images: Significant deformity correction with no relapse at five-year follow-up.
case_images: cureus-0015-00000033863-i09.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i09.jpg
case_images: FIG9
case_images: She was able to perform her daily activities without any problems (Figures 8-11).
case_images: No extension lag post deformity correction.
case_images: cureus-0015-00000033863-i10.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i10.jpg
case_images: FIG10
case_images: She was able to perform her daily activities without any problems (Figures 8-11).
case_images: Radiographs at five-year follow-up showing good correction with no relapses.
case_images: cureus-0015-00000033863-i11.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i11.jpg
case_images: FIG11
case_images: She was able to perform her daily activities without any problems (Figures 8-11).
case_images: Radiological assessment at five-year follow-up measuring the tibio-femoral angle (red), lateral distal femoral angle (blue), medial proximal tibial angle (green) in right (A) and left (B) lower limb.
case_images: cureus-0015-00000033863-i12.jpg
case_images: PMC9933149_01_cureus-0015-00000033863-i12.jpg
case_images: FIG12
case_images: On follow-up at five years the radiological angles were calculated and a significant correction was observed which was persistent at the follow-up (Figure 12) (Table 2).