Genu recurvatum due to partial growth arrest of the proximal tibial physis: correction by callus distraction. Case report.
The formation of a genu recurvatum after partial growth arrest of the proximal tibial physis is uncommon. This contribution deals with the case of a 16 years old male patient who after a direct injury to the proximal tibia four years ago showed a genu recurvatum of 18 degrees. An incomplete upper tibial corticotomy was performed and a hinge type de Bastiani fixator applied. The deformity was corrected at a distraction rate of one millimetre a day. The corticotomy gap filled with callus during the distraction process. The advantages of this concept are omision of iliac crest grafts, maintainance of a full range of knee motion with partial weight bearing during distraction and determination of the final degree of correction with the aid of proper radiographs.
Pennig
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D
Klinik und Poliklinik für Unfall- und Handchirurgie, Westfälische Wilhelms-Universität, Münster, Federal Republic of Germany.
Baranowski
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D
D000293:Adolescent; D002146:Bony Callus / Q000601:surgery*; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008722:Methods; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery; D013978:Tibial Fractures / Q000150:complications*