Deformity Correction in an Adult With Hypophosphatemic Rickets

Vitamin D-resistant hypophosphatemic rickets is an X-linked genetic disorder that presents with varying degrees of bone deformities that usually involve the tibia and femur. The deformities affect the patient's quality of life and restrict their ability to ambulate, resulting in significant psychological distress. In this report, we present an adult case of hypophosphatemic rickets with severe bilateral tibial bowing, treated with multiple osteotomies and intramedullary nail fixation, resulting in marked improvement in ambulation.