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Results of Supracondylar “V” Osteotomy for the Correction of Genu Valgum Deformity
BACKGROUND: Medial close wedge, lateral open wedge, dome and “V” osteotomies are the commonly to correct the genu valgum (GV) deformity. However, the ideal method for the correction of coronal plane deformity is controversial. This prospective study is to evaluate the functional and radiological res...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415553/ https://www.ncbi.nlm.nih.gov/pubmed/30967710 http://dx.doi.org/10.4103/ortho.IJOrtho_547_17 |
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author | Ranjan, Rahul Sud, Alok Kanojia, Rajesh Kumar Goel, Lakshay Chand, Suresh Sinha, Abhinav |
author_facet | Ranjan, Rahul Sud, Alok Kanojia, Rajesh Kumar Goel, Lakshay Chand, Suresh Sinha, Abhinav |
author_sort | Ranjan, Rahul |
collection | PubMed |
description | BACKGROUND: Medial close wedge, lateral open wedge, dome and “V” osteotomies are the commonly to correct the genu valgum (GV) deformity. However, the ideal method for the correction of coronal plane deformity is controversial. This prospective study is to evaluate the functional and radiological result of supracodylar “V” osteotomy to correct GV deformity. MATERIALS AND METHODS: “V” osteotomy was done in all patients with clinically significant GV deformity and was fixed with crossed K-wires. Weight-bearing mobilization was started after radiological union. Patients were evaluated for correction in different clinical and radiological parameters. The function of the knee was assessed by Bostman's score. The subjective score was used to assess the parent's satisfaction after the procedure. RESULTS: 187 limbs with genu valgum deformity (47 males and 71 females) were included in this study. We observed a significant improvement in the mean intermalleolar distance, clinical and radiological tibiofemoral angle and lateral distal femoral angle, from 17.3 to 3.9 cm, 23.8°to–4.5°, 25.6° to 6.1°, 76.6° to 88.4°, respectively. The mean Bostman score improved from 20.6 to 28.1. The parent's satisfaction assessed subjectively was 95.3 points. CONCLUSION: This osteotomy along with the fixation with K-wires is a safe, effective, reproducible technique with a short learning curve and a procedure requiring no repeat surgery for implant removal, with good functional results, and without major complications. |
format | Online Article Text |
id | pubmed-6415553 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-64155532019-04-09 Results of Supracondylar “V” Osteotomy for the Correction of Genu Valgum Deformity Ranjan, Rahul Sud, Alok Kanojia, Rajesh Kumar Goel, Lakshay Chand, Suresh Sinha, Abhinav Indian J Orthop Original Article BACKGROUND: Medial close wedge, lateral open wedge, dome and “V” osteotomies are the commonly to correct the genu valgum (GV) deformity. However, the ideal method for the correction of coronal plane deformity is controversial. This prospective study is to evaluate the functional and radiological result of supracodylar “V” osteotomy to correct GV deformity. MATERIALS AND METHODS: “V” osteotomy was done in all patients with clinically significant GV deformity and was fixed with crossed K-wires. Weight-bearing mobilization was started after radiological union. Patients were evaluated for correction in different clinical and radiological parameters. The function of the knee was assessed by Bostman's score. The subjective score was used to assess the parent's satisfaction after the procedure. RESULTS: 187 limbs with genu valgum deformity (47 males and 71 females) were included in this study. We observed a significant improvement in the mean intermalleolar distance, clinical and radiological tibiofemoral angle and lateral distal femoral angle, from 17.3 to 3.9 cm, 23.8°to–4.5°, 25.6° to 6.1°, 76.6° to 88.4°, respectively. The mean Bostman score improved from 20.6 to 28.1. The parent's satisfaction assessed subjectively was 95.3 points. CONCLUSION: This osteotomy along with the fixation with K-wires is a safe, effective, reproducible technique with a short learning curve and a procedure requiring no repeat surgery for implant removal, with good functional results, and without major complications. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6415553/ /pubmed/30967710 http://dx.doi.org/10.4103/ortho.IJOrtho_547_17 Text en Copyright: © 2019 Indian Journal of Orthopaedics http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Ranjan, Rahul Sud, Alok Kanojia, Rajesh Kumar Goel, Lakshay Chand, Suresh Sinha, Abhinav Results of Supracondylar “V” Osteotomy for the Correction of Genu Valgum Deformity |
title | Results of Supracondylar “V” Osteotomy for the Correction of Genu Valgum Deformity |
title_full | Results of Supracondylar “V” Osteotomy for the Correction of Genu Valgum Deformity |
title_fullStr | Results of Supracondylar “V” Osteotomy for the Correction of Genu Valgum Deformity |
title_full_unstemmed | Results of Supracondylar “V” Osteotomy for the Correction of Genu Valgum Deformity |
title_short | Results of Supracondylar “V” Osteotomy for the Correction of Genu Valgum Deformity |
title_sort | results of supracondylar “v” osteotomy for the correction of genu valgum deformity |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415553/ https://www.ncbi.nlm.nih.gov/pubmed/30967710 http://dx.doi.org/10.4103/ortho.IJOrtho_547_17 |
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