Percutaneous high tibial closed-wedge corticotomy and casting for treating genu varum in adolescents

Purpose Diverse surgical modalities have been designated for the treatment of genu varum deformity. However, other studies have not constantly confirmed which technique to be better than the other. The use of hardware, bone graft or bone substitute have their own risks. In this study, simple techniq...

Full description

Saved in:
Bibliographic Details
Published in:Musculoskeletal surgery 2022-09, Vol.106 (3), p.311-316
Main Author: Abdel-Moneim, H. A.-M.
Format: Article
Language:English
Subjects:
Health aspects
Medicine
Medicine & Public Health
Original Article
Orthopedics
Surgical Orthopedics
Teenagers
Youth
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose Diverse surgical modalities have been designated for the treatment of genu varum deformity. However, other studies have not constantly confirmed which technique to be better than the other. The use of hardware, bone graft or bone substitute have their own risks. In this study, simple technique of percutaneous high tibial closed-wedge corticotomy and casting for treating genu varum in average body-built adolescents without hardware fixation was reported. Methods An overall 22 knees of 16 average-weight adolescents having genu varum with a mean age of 14.8 years (range, 12–18 years) underwent percutaneous high tibial closed-wedge corticotomy and casting. The study was conducted between May 2017 and January 2020. The typical follow-up duration was ten months (range, 8–22 months). Clinical and radiological evaluation for all patients was implemented. Results Mean postoperative Rasmussen clinical score was 27 (range, 24–30), with 16 excellent and six good results. The tibiofemoral angle improved from a mean of 18.2 degree varus (range, 14–25 degree varus) preoperatively to 1.3 degree valgus (range, 0–8 degree valgus) postoperatively, indicating a significant improvement ( P 
ISSN:2035-5106
2035-5114
DOI:10.1007/s12306-021-00703-0