Medial closing wedge distal femoral osteotomy with internal fixation using single K wire for genu valgum in children & adolescents.

Dr. H.S Varma; Dr. Amit Rahangdale

Volume : VII, Issue : III, March - 2018

Medial closing wedge distal femoral osteotomy with internal fixation using single K wire for genu valgum in children & adolescents.

Dr. H. S Varma, Dr. Amit Rahangdale

Abstract :

Objectives: Among various options available for correction of genu–valgum deformity, medial closing wedge osteotomy distal femoral is commonly used but rarely fixed using K wires.

Material and methods: Patients of age between 8 and 15 years, with a standing radiological tibiofemoral angle ≥15� and intermalleolar distance of > 10 cm. Correction was done using medial closing wedge osteotomy technique and was stabilized by single Kirschner wire. Functional outcome was assessed using Bostman et al. score.

Results: Twenty four cases out of 27 limbs had excellent outcome, two patients had good functional outcome and one of the patients had an unsatisfactory knee score < 20.

Conclusion: Distal femoral medial closing wedge osteotomy and fixation with single K wire is a viable option for the correction of genu valgum in children and adolescents.