Opening-wedge osteotomy, allografting with dual buttress plate fixation for severe genu recurvatum caused by partial growth arrest of the proximal tibial physis: a case report.
Injuries to the proximal tibial physis are among the least common epiphyseal injuries. We present a case of severe genu recurvatum deformity (45 degrees) with leg length discrepancy (4 cm) following a neglected proximal tibial physeal injury incurred 6 years previously. The 16-year-old patient was successfully treated by open-wedge osteotomy, allograft reconstruction, and dual buttress plate fixation. At 3 years' follow-up, the patient was asymptomatic, fully active with a full range of motion (0 - 140 degrees) of the leg, and equal leg lengths. There were no signs of genu recurvatum clinically.
Chen
Liang-Chin
LC
Department of Orthopaedic Surgery, Chang-Gung Memorial Hospital, Taiwan.
Chan
Yi-Sheng
YS
Wang
Ching-Jen
CJ
D000293:Adolescent; D001846:Bone Development; D001860:Bone Plates; D016025:Bone Transplantation; D006132:Growth Plate / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D016916:Joint Deformities, Acquired / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D007870:Leg Length Inequality / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D010027:Osteotomy; D011859:Radiography; D000072042:Salter-Harris Fractures; D013977:Tibia / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*