Correction of genu valgum with isolated femoral supracondylar varisation osteotomy. Case report

Authors

  • Roque Alcívar Department of Traumatology and Orthopedics, Hospital Clínica Alcívar, Guayaquil, Ecuador.
  • Juan Carlos Guevara-Garay Department of Traumatology and Orthopedics, Hospital Clínica Alcívar, Guayaquil, Ecuador.
  • Harold Jhon Secaira-Figueroa Department of Traumatology and Orthopedics, Hospital Clínica Alcívar, Guayaquil, Ecuador.
  • Mario Alonso Ruiz-Manzo Department of Traumatology and Orthopedics, Hospital Clínica Alcívar, Guayaquil, Ecuador.
  • Hugo Ernesto Villarroel-Rovere Coordinación del Posgrado de Traumatología y Ortopedia, Hospital Clínica Alcívar, Guayaquil, Ecuador.

DOI:

https://doi.org/10.1016/j.rccot.2019.03.006

Keywords:

Knee, Genu valgum, Varisation osteotomy

Abstract

The clinical cases are described of two adolescent patients, assessed in this hospital with a previous traumatic history in the affected knee, one of whom had a fracture in the tibial plateau. The other present with pain, progressive deviation in valgus of the knee, accompanied by shortening of the limb involved, and therefore a limp to the gait. In this article, a description is presented on the diagnosis, treatment and post-surgery management of the patients, using the Knee Society Scale (KSS) to assess the functionality and stability of the affected knee.

Downloads

Download data is not yet available.

References

García Mansilla I, Costa Paz M, Ayerza M, Astoul J, Carbo L, Yacuzzi C, et al. Osteotomía varizante distal de fémur para genu valgo. Artroscopia. 2015;22:17-20.

Cosentino R. Miembros inferiores: Semiología con consideraciones clínicas y terapéuticas. Buenos Aires, Argentina.: Editorial el Ateneo; 1992. p. 313-6.

Haviv B, Bronak S, Thein R, Thein R. The results of corrective osteotomy for valgus arthritic knees. Knee Surg Sports Traumatol Arthrosc. 2013;21:49-56.

Rodriguez Santana L, Navarro Garcia R, Cabrera Bonilla R, Figueroa F. Desportes. Anatomía y biomecánica de la rodilla. III Jornadas Canarias de Traumatología y Cirugía Ortopédica. 2011.

Dhar SA, Farook M, Ramzan M. A reciprocating ledge technique in closing wedge osteotomy for genu valgum in adolescents. J Orthop Surg. 2009;17:313-6.

Souto N, Quintela A, Gonzalez P. Epifisiodesis patológica. Rev Esp Cirug Osteoarticular. 2010;45:5-11.

Backstein D, Morag G, Hanna S. Long-term follow up of distal femoral varus osteotomy of the knee. J Arthroplasty. 2007;22 4 Supl 1:2-6.

Gautam VK, Kumar R, Mishra P. Focal dome osteotomy for correction of genu valgum. Indian J Orthop. 2002;36:6.

Stevens PM. Genu Valgum. Pediatrics. Medscape. Disponible en: https://emedicine.medscape.com/article/1259772-overview.

Bar-On E, Becker T. Corrective lower limb osteotomies in children using temporay external fixation and percutaneous locking plates. J Child Orthop. 2009;3:137-43.

Dhar SA, Mir MR, Butt MF, Bhat M, Ahmed MS, Kawoosa AA. Femoral ledge sparing closing wedge osteotomy. Orthopedics. 2008;31:19-25.

Omidi-Kashani F, Hasankhani IG, Mazlumi M, Ebrahimzadeh MH. Varus distal femoral osteotomy in young adults with valgus knee. J Orthop Surg Res. 2009;13:15.

Kosashvili, Safir O, Gross A, Morag G, Lakstein D, Backstein D. Distal femoral varus osteotomy for lateral osteoarthritis of the knee: A minimum ten-year follow-up. Int Orthop. 2010;34:249-54.

Sternheim, Garbedian S, Backstein D. Distal femoral varus osteotomy: Unloading the lateral compartment: long-term follow-up of 45 medial closing wedge osteotomies. Orthopedics. 2011 9;34:e488-90.

Backstein, Morag G, Hanna S, Safir O, Gross A. Long-term followup of distal femoral varus osteotomy of the knee. J Arthroplasty. 2007;22 4 Suppl 1:2-6.

Coventry MB. Osteotomy about the knee for degenerative and rheumatoid arthritis. J Bone Joint Surg Am. 1973;55:23-48.

Sternheim A, Garbedian S, Backstein D. Distal femoral varus osteotomy: Unloading the lateral compartment: long-term follow-up of 45 medial closing wedge osteotomies. Orthopedics. 2011;34:e488-90.

Wang, Hsu CC. Distal femoral varus osteotomy for osteoarthritis of the knee. J Bone Joint Surg Am. 2005;87:127-33.

Saithna A, Kundra R, Modi CS, Getgood A, Spalding T. Distal femoral varus osteotomy for lateral compartment osteoarthritis in the valgus knee. A systematic review of the literature. Open Orthop J. 2012;6:313-9.

Amenábar E. PP, Carrión M. M, Apablaza C. D, Paulos A. J. Artroplastia total de rodilla en pacientes con artritis reumatoide. Rev Med Chile. 2004;132:337-45.

Pascual Díaz MA, Alcántara Martos T, García Martínez JA, Carrero Fernández A, Enrique Fidalgo A. Osteotomía varizante en genu valgo. Rev S And Traum Ort. 2001;21:43-7.

García Domínguez JD. Genu valgum postraumático. Presentación de un caso. Rev Méd Electrón [Internet]. 2012 Mar-Abr;34(2) [consultado 12 Jun 2015]. Disponible en: http://www.revmatanzas.sld.cu.

Fan J, Zhang X, Liu T, Ling L, Chen T, Jie S. Treatment of external fixator in young patients with valgus deformity of the knee companied with leg shortening. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013;38:191-5.

Downloads

Published

2019-05-01

How to Cite

1.
Alcívar R, Guevara-Garay JC, Secaira-Figueroa HJ, Ruiz-Manzo MA, Villarroel-Rovere HE. Correction of genu valgum with isolated femoral supracondylar varisation osteotomy. Case report. Rev. Colomb. Ortop. Traumatol. [Internet]. 2019 May 1 [cited 2026 Mar. 15];33(Sp. 1):42-9. Available from: https://revistasccotorg.biteca.online/index.php/rccot/article/view/682

Issue

Vol. 33 No. Sp. 1 (2019)

Section

Case report

License

Copyright (c) 2025 Sociedad Colombiana de Cirugía Ortopédica y Traumatología.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
Crossref Cited-by logo
1 Cites in Crossref to date
Escanea para compartir
QR Code