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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...

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Autores principales: Ranjan, Rahul, Sud, Alok, Kanojia, Rajesh Kumar, Goel, Lakshay, Chand, Suresh, Sinha, Abhinav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
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.
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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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