Nei Montenegro
Institute of Orthopedics and Traumatology of the Hospital, BrasilTitle: Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal
Abstract
Genu recurvatum is characterized as an hyperextension deformity of the knee in the sagittal plane. Amongst its causes are conditions like arthrogryposis, cerebral palsy, anterior tibial tuberosity arrest, poliomyelitis and some syndromes with generalized ligamentous hyperlaxity and fixed equinus deformity of the foot. The treatment of this deformity can be challenging and, to date, aggressive methods such as femur or tibia osteotomies are the most used for its correction.
We describe here a safe and minimally invasive technique for correction of the genu recurvatum with the apex on the distal femur, performed through guided growth with the posterior hemiepiphysiodesis of the distal femur with two transphyseal screws. This technique has great potential for correcting the recurvate knee in the immature skeleton and can be an excellent alternative to the more aggressive methods currently used for the treatment of this deformity.
Biography
Genu recurvatum is characterized as an hyperextension deformity of the knee in the sagittal plane. Amongst its causes are conditions like arthrogryposis, cerebral palsy, anterior tibial tuberosity arrest, poliomyelitis and some syndromes with generalized ligamentous hyperlaxity and fixed equinus deformity of the foot. The treatment of this deformity can be challenging and, to date, aggressive methods such as femur or tibia osteotomies are the most used for its correction.
We describe here a safe and minimally invasive technique for correction of the genu recurvatum with the apex on the distal femur, performed through guided growth with the posterior hemiepiphysiodesis of the distal femur with two transphyseal screws. This technique has great potential for correcting the recurvate knee in the immature skeleton and can be an excellent alternative to the more aggressive methods currently used for the treatment of this deformity.
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