Correction of genu valgum deformity with femoral translation osteotomy and antegrade interlocking nail
Journal of Clinical Orthopaedics | Vol 10 | Issue 1 | January-June 2025 | page: 21-25 | Sujay Kulkarni, Ruta Kulkarni, Madhura Kulkarni, Zafer Satvilkar, Shekhar Malve, Milind Kulkarni
DOI: https://doi.org/10.13107/jcorth.2025.v10i01.706
Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2025; The Author(s).
Submitted Date: 11 Jan 2025, Review Date: 08 Mar 2025, Accepted Date: 10 Apr 2025 & Published Date: 30 Jun 2025
Author: Sujay Kulkarni [1], Ruta Kulkarni [1], Madhura Kulkarni [1], Zafer Satvilkar [1], Shekhar Malve [1], Milind Kulkarni [1]
[1] Department of Orthopeadics, Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India
Address of Correspondence
Dr. Sujay Kulkarni,
Department of Orthopeadics, Post Graduate Institute of Swasthiyog Pratishthan, Station Road, Extension Area, Miraj – 416410, Maharashtra, India.
E-mail: jay2712@gmail.com
Abstract
Introduction: Genu valgum is a common deformity which is treated by almost every orthopedic surgeon. There are various methods to treat this deformity with usually satisfactory results. In adults, a femoral osteotomy is the most used method of correction of deformity. It is usually fixed by a plate. A large skin incision is required. The patient is usually kept non-weight bearing for a varying period.
We present a technique in which a minimally invasive percutaneous osteotomy is performed and fixed with an antegrade interlocking nail. The implant used is familiar, readily available, and cost-effective. Weight-bearing is started immediately, and no immobilization is necessary.
Materials and Methods: We analyzed 22 cases of genu valgum treated with this osteotomy in a single center. We performed the percutaneous osteotomy and fixation with antegrade interlocking intramedullary nail. All patients were allowed to walk with a walker and full weight bearing from the next day as pain permitted. Every patient was called for follow-up at 1, 3, and 6 months. At every follow-up, orthogonal X-rays were taken, and the range of motion (ROM) at the knee and hip was recorded.
Results: All 22 cases showed good union at the osteotomy site and full knee and hip ROM at 6 months. We had no wound complications or limb length discrepancy in any case.
Conclusion: This technique is a useful tool to add to the orthopedic surgeon’s armamentarium. It is a cost-effective and minimally invasive solution to a very common problem, using familiar implants. A comparative study is warranted to study its superiority to other techniques.
Keywords: Genu valgum, Interlocking nail, Osteotomy, Minimally invasive.
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| How to Cite this article: Kulkarni S, Kulkarni R, Kulkarni M, Satvilkar Z, Malve S, Kulkarni M. Correction of genu valgum deformity with femoral translation osteotomy and antegrade interlocking nail. Journal of Clinical Orthopaedics January-June 2025;10(1):21-25. |
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