The Journal of Bone and Joint Surgery, Vol 60, Issue 6 810-814, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc
Osteotomy for tibia vara in Paget's disease under cover of calcitonin
MH Meyers and FR Singer
Five women with Paget's disease of the tibia were seen with pain in the
knee, ankle, or both, as well as with tibial bone pain. All had tibia vara
and internal torsion of the tibial shaft. Osteotomy to correct the
deformities was preceded by a course of calcitonin which relieved the bone
pain but did not relieve the articular pain. Relief after satisfactory
correction of the tibial deformity was achieved in all patients. Calcitonin
effectively minimized bleeding at the osteotomy site and complications were
not encountered.