Treatment of Severe Genu Valgum Deformity Secondary to Renal Osteodystrophy by Medial Close Wedge Osteotomy using an Innovative Trigonometric Technique of Wedge Calculation
Journal of Clinical Orthopaedics | Vol 8 | Issue 2 | Jul-Dec 2023 | page: 85-87 | Vaibhav Sahu, Gaurav Garg
DOI: https://doi.org/10.13107/jcorth.2023.v08i02.612
Author: Vaibhav Sahu [1], Gaurav Garg [1]
[1] Department of Orthopedics, ESI-PGIMSR, New Delhi, India
Address of Correspondence
Dr. Gaurav Garg,
Department of Orthopedics, ESI-PGIMSR, New Delhi – 110 015, India.
E-mail: gauravgarg9999@gmail.com
Abstract
Genu valgum is one of the most common deformity of the knee in which the knee bend toward the midline with increase in the intermalleolar distance. It is often treated surgically with the osteotomy or by growth modulation techniques such as hemiepiphysiodesis using bone staplers. We, hereby, present a case of 16-year-old female with severe genu valgum deformity of bilateral lower limbs secondary to renal osteodystrophy causing pain in her bilateral lower limbs and inability to walk. She was treated by McEwan’s close wedge osteotomy using an innovative trigonometric-based technique for calculation of wedge size which resulted in accurate correction of deformity.
Keywords: Genu valgum, Renal osteodystrophy, Medial close wedge osteotomy, Trigonometric method of wedge calculation.
References
1. McEwan W. Lecture on antiseptic osteotomy for genu valgum, genu varum, and other osseous deformities. Lancet 1878;112:911-4.
2. Wesseling-Perry K, Salusky IB. Chronic kidney disease: Mineral and bone disorder in children. Seminars in Nephrology 2013;33:169-79.
3. Niki H, Aoki H, Hirano T, Beppu M. Severe genu valgum deformity and slipped capital femoral epiphysis with renal osteodystrophy: A report of two cases. J Orthop Sci 2012;17:500-6.
4. Oppenheim WL, Fischer SR, Salusky IB. Surgical correction of angular deformity of the knee in children with renal osteodystrophy. J Pediatr Orthop 1997;17:41-9.
5. Davids JR, Fisher R, Lum G, Von Glinski S. Angular deformity of the lower extremity in children with renal osteodystrophy. J Pediatr Orthop 1992;12:291-9.
6. Bauer GC, Insall J, Koshino T. Tibial osteotomy in gonarthrosis (osteo arthritis of the knee). J Bone Joint Surg Am 1969;51:1545-63.
7. Filho EL, Torres MR, Silva MR, Lima FR, Anguir JL. Simplified calculation for corrective osteotomies of long bones. Acta Orthop Bras 2016;24:253-8.
8. Warnock KM, Johnson BD, Wright JB, Ambrose CG, Clanton TO, McGarvey WC. Calculation of the opening wedge for a low tibial osteotomy. Foot Ankle Int 2004;25:778-82.
9. Wylie JD, Maak TG. Medial closing-wedge distal femoral osteotomy for genu valgum with lateral compartment disease. Arthrosc Tech 2016;5:e1357-66.
| How to Cite this article: Sahu V, Garg G. Treatment of Severe Genu Valgum Deformity Secondary to Renal Osteodystrophy by Medial Close Wedge Osteotomy using an Innovative Trigonometric Technique of Wedge Calculation. Journal of Clinical Orthopaedics Jul-Dec 2023;8(2):85-87. |
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