DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUE

ABSTRACT Introduction: The genu recurvatum is characterized by a hyperextension deformity of the knee in the sagittal plane. Among its causes are conditions such as arthrogryposis, cerebral palsy, poliomyelitis, sequelae of tibial tuberosity fracture and some syndromes with generalized joint hyperm...

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Main Authors: NEI BOTTER MONTENEGRO, TALISSA OLIVEIRA GENEROSO, BÁRBARA LÍVIA CORRÊA SERAFIM, AMÂNCIO RAMALHO JÚNIOR
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2023-12-01
Series:Acta Ortopédica Brasileira
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000900203&lng=en&tlng=en
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author NEI BOTTER MONTENEGRO
TALISSA OLIVEIRA GENEROSO
BÁRBARA LÍVIA CORRÊA SERAFIM
AMÂNCIO RAMALHO JÚNIOR
author_facet NEI BOTTER MONTENEGRO
TALISSA OLIVEIRA GENEROSO
BÁRBARA LÍVIA CORRÊA SERAFIM
AMÂNCIO RAMALHO JÚNIOR
author_sort NEI BOTTER MONTENEGRO
collection DOAJ
description ABSTRACT Introduction: The genu recurvatum is characterized by a hyperextension deformity of the knee in the sagittal plane. Among its causes are conditions such as arthrogryposis, cerebral palsy, poliomyelitis, sequelae of tibial tuberosity fracture and some syndromes with generalized joint hypermobility. Treatment of this deformity can be challenging and, to date, aggressive methods such as femur or tibial osteotomies are the most used for its correction. Objective: This study aimed to describe a new surgical technique for correcting genu recurvatum. Methods: This is a prospective clinical study of children who underwent posterior hemiepiphysiodesis of the distal femur with transphyseal screws. Results: The approach proved to be safe and useful for genu recurvatum deformities, with femoral or articular apex. Conclusion: This approach shows great potential for correcting genu recurvatum in the developing skeleton, being an excellent alternative to the more aggressive methods currently used to treat this deformity. Level of evidence IV, Case Series.
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spelling doaj.art-2f64a28dea4442f69aa1969733589ccd2023-12-19T07:48:19ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522023-12-0131610.1590/1413-785220233105e268307DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUENEI BOTTER MONTENEGROhttps://orcid.org/0000-0002-0705-1623TALISSA OLIVEIRA GENEROSOhttps://orcid.org/0000-0001-9277-7746BÁRBARA LÍVIA CORRÊA SERAFIMhttps://orcid.org/0000-0002-2552-7138AMÂNCIO RAMALHO JÚNIORhttps://orcid.org/0000-0003-4267-4567ABSTRACT Introduction: The genu recurvatum is characterized by a hyperextension deformity of the knee in the sagittal plane. Among its causes are conditions such as arthrogryposis, cerebral palsy, poliomyelitis, sequelae of tibial tuberosity fracture and some syndromes with generalized joint hypermobility. Treatment of this deformity can be challenging and, to date, aggressive methods such as femur or tibial osteotomies are the most used for its correction. Objective: This study aimed to describe a new surgical technique for correcting genu recurvatum. Methods: This is a prospective clinical study of children who underwent posterior hemiepiphysiodesis of the distal femur with transphyseal screws. Results: The approach proved to be safe and useful for genu recurvatum deformities, with femoral or articular apex. Conclusion: This approach shows great potential for correcting genu recurvatum in the developing skeleton, being an excellent alternative to the more aggressive methods currently used to treat this deformity. Level of evidence IV, Case Series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000900203&lng=en&tlng=enBone RetroversionOrthopedic ProceduresMinimally Invasive Surgical ProceduresKnee JointGrowth and DevelopmentGrowth Plate
spellingShingle NEI BOTTER MONTENEGRO
TALISSA OLIVEIRA GENEROSO
BÁRBARA LÍVIA CORRÊA SERAFIM
AMÂNCIO RAMALHO JÚNIOR
DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUE
Acta Ortopédica Brasileira
Bone Retroversion
Orthopedic Procedures
Minimally Invasive Surgical Procedures
Knee Joint
Growth and Development
Growth Plate
title DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUE
title_full DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUE
title_fullStr DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUE
title_full_unstemmed DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUE
title_short DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUE
title_sort distal femur hemiepiphysiodesis in knee recurvatum a new surgical technique
topic Bone Retroversion
Orthopedic Procedures
Minimally Invasive Surgical Procedures
Knee Joint
Growth and Development
Growth Plate
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000900203&lng=en&tlng=en
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