Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal
Genu recurvatum is characterized as an hyperextension deformity of the knee in the sagittal plane and can be associated to structured equinus deformity of the ankle and foot. Amongst its causes are conditions like arthrogryposis, cerebral palsy, tibial tuberosity arrest, poliomyelitis and syndromes...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2022-12-01
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| Series: | Journal of the Foot & Ankle |
| Subjects: | |
| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1665 |
| _version_ | 1828084238490009600 |
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| author | Nei Botter Montenegro Talissa Oliveira Generoso Amancio Ramalho Júnior |
| author_facet | Nei Botter Montenegro Talissa Oliveira Generoso Amancio Ramalho Júnior |
| author_sort | Nei Botter Montenegro |
| collection | DOAJ |
| description |
Genu recurvatum is characterized as an hyperextension deformity of the knee in the sagittal plane and can be associated to structured equinus deformity of the ankle and foot. Amongst its causes are conditions like arthrogryposis, cerebral palsy, tibial tuberosity arrest, poliomyelitis and syndromes with generalized ligamentous hyperlaxity. The treatment of this condition can be challenging, specially when associated with equinus of the foot and, to date, aggressive methods such as femur or tibia osteotomies are the most used for its correction. We describe here a safe and minimally invasive technique with posterior hemiepiphysiodesis of the distal femur performed with transphyseal screws for correction of the genu recurvatum with apex on the distal femur associated with rigid equinus of the foot due to tarsal coalition. This technique has great potential for correcting the recurvate knee in the immature skeleton and can be an excellent alternative to the more aggressive methods currently used for the treatment of this deformity. Level of Evidence V; Therapeutic Studies; Expert Opinion.
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| first_indexed | 2024-04-11T04:21:56Z |
| format | Article |
| id | doaj.art-a6f53a8ecdfe4680900a2d2794a6aa09 |
| institution | Directory Open Access Journal |
| issn | 2675-2980 |
| language | English |
| last_indexed | 2024-04-11T04:21:56Z |
| publishDate | 2022-12-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj.art-a6f53a8ecdfe4680900a2d2794a6aa092022-12-30T13:59:25ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802022-12-0116310.30795/jfootankle.2022.v16.1665Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposalNei Botter Montenegro0Talissa Oliveira Generoso1Amancio Ramalho Júnior2Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. Genu recurvatum is characterized as an hyperextension deformity of the knee in the sagittal plane and can be associated to structured equinus deformity of the ankle and foot. Amongst its causes are conditions like arthrogryposis, cerebral palsy, tibial tuberosity arrest, poliomyelitis and syndromes with generalized ligamentous hyperlaxity. The treatment of this condition can be challenging, specially when associated with equinus of the foot and, to date, aggressive methods such as femur or tibia osteotomies are the most used for its correction. We describe here a safe and minimally invasive technique with posterior hemiepiphysiodesis of the distal femur performed with transphyseal screws for correction of the genu recurvatum with apex on the distal femur associated with rigid equinus of the foot due to tarsal coalition. This technique has great potential for correcting the recurvate knee in the immature skeleton and can be an excellent alternative to the more aggressive methods currently used for the treatment of this deformity. Level of Evidence V; Therapeutic Studies; Expert Opinion. https://jfootankle.com/JournalFootAnkle/article/view/1665ChildKneeJoint deformities, acquiredOrthopedic procedures/methods |
| spellingShingle | Nei Botter Montenegro Talissa Oliveira Generoso Amancio Ramalho Júnior Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal Journal of the Foot & Ankle Child Knee Joint deformities, acquired Orthopedic procedures/methods |
| title | Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal |
| title_full | Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal |
| title_fullStr | Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal |
| title_full_unstemmed | Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal |
| title_short | Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal |
| title_sort | posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity a novel surgical proposal |
| topic | Child Knee Joint deformities, acquired Orthopedic procedures/methods |
| url | https://jfootankle.com/JournalFootAnkle/article/view/1665 |
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