Treatment of genu valgum in children by percutaneous transverse metaphyseal osteotomy of the distal femur

Elgeuoshy, Aly M.; Mansour, Galal M.; Hegazy, Mohamed M.; Abdelhamid, Alhassan M.

doi:10.4103/sjamf.sjamf_17_17

Treatment of genu valgum in children by percutaneous transverse metaphyseal osteotomy of the distal femur

Authors

Abstract

Purpose
The aim was to measure and correct the angular deformity of 15 patients with genu valgum by a new percutaneous technique.
Materials and methods
We conducted a prospective study to evaluate the results of using percutaneous supracondylar femoral osteotomy technique with casting as a minimally invasive surgical intervention for the treatment of genu valgum.
Results
The youngest patient was 7 years and the oldest was 20 years with an average age of 14 years. The range of hospital stay is from 1 or 2 days, but it decreased with the late cases in the study, which can be explained by the improvement in the learning curve of the technique. The least time of follow-up is 6 weeks, but two cases have been followed for 57 weeks with a mean of 24.90 weeks.
Conclusion
The percutaneous technique provides the privileges of acute correction without the need for dissection, minimizes the formation of ugly scar or keloid, minimizes the risk of infection, and allows for accurate correction. There is no need for plate fixation or a staged operation to remove hardware. On the other side, the percutaneous osteotomy has a learning curve and the compliant patient is crucial for a close assessment of the condition.

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