Clinical Orthopaedics and Related Research · 1983 · 52 citations · 0 references
Genu RecurvatumLimb ReconstructionSurgeryAnatomyOsteoporosisOrthopaedic SurgeryPediatric Orthopedic SurgeryCartilage DegenerationOsteoarthritisOrthopaedicsOsseous Genu RecurvatumArthroscopic TechniqueJoint ReplacementMaxillofacial SurgeryRheumatologyGenoplastic SurgeryDistraction OsteogenesisKnee InjuriesOrthognathic SurgeryCosmetic DeformityLimb RestorationReconstructive SurgeryMusculoskeletal SurgeryCraniofacial SurgeryMedicine
Genu recurvatum results from premature closure of the anterior proximal tibial physis with continued posterior growth, with etiologic factors including immobilization, trauma, and Osgood‑Schlatter disease. The study describes an osteotomy to correct osseous genu recurvatum caused by premature closure of the anterior proximal tibial physis. The procedure was performed on 14 patients (17 knees) with an average age of 15 years 6 months and a mean follow‑up of 20 months, using various osteotomies including Irwin, proximal opening‑wedge, distal closing‑wedge, and closing‑wedge/anterior displacement osteotomies. In 14 patients (17 knees), all reported cosmetic deformity and nine reported pain; post‑operative follow‑up showed symptom resolution in all knees, 16 knees were clinically stable, and the closing‑wedge/anterior displacement osteotomy offered rapid healing, good deformity correction, tibial tubercle restoration, fewer complications, and prevented recurrence.
An operation is described for correction of the osseous form of genu recurvatum, which is secondary to premature closure of the anterior part of the proximal tibial physis with continued growth of the posterior part. At the Alfred I. duPont Institute 14 patients with 17 involved knees have been treated surgically for osseous genu recurvatum. All patients complained of cosmetic deformity, and nine of the 14 had pain. Etiologic factors included immobilization, trauma, and Osgood-Schlatter disease. The average age at surgery was 15 years six months, and the average follow-up period to date has been 20 months. Surgical procedures include the Irwin osteotomy (6 knees), the proximal opening-wedge osteotomy (2 knees), the distal closing-wedge osteotomy (1 knee), and the closing-wedge/anterior displacement osteotomy (8 knees). In all 17 of the knees in this series symptoms resolved following surgery, and 16 knees were stable at clinical examination. The closing-wedge/anterior displacement osteotomy has the advantages of rapid healing, good correction of the deformity, restoration of the depressed tibial tubercle, fewer complications, and resection of the remaining physis, which prevents recurrence.