For genu recurvatum deformity after tibial fracture, precise correction osteotomy is necessary to acquire a good clinical outcome. No report on genu recurvatum has evaluated precise preoperative planning with image-processing software for three-dimensional (3D) design and modeling. We herein report a case of osseous genu recurvatum treated by anterior opening wedge osteotomy according to precis...

PURPOSE Past classification for the treatment of idiopathic genu vara depended simply on the measurement of distance between the knees, without attention to the rotational profile of the lower extremity. We retrospectively analyzed anatomical causes of idiopathic genu vara. PATIENTS AND METHODS Twenty eight patients with idiopathic genu vara were included in this study. All patients were surg...

Infantile tibia vara is a deformity of abrupt angulation into varus due to an affection of the postromedial aspect of the proximal tibial physis. The deformity often includes internal tibial torsion and limb length discrepancy. Gradual correction of the deformity is currently the treatment of choice for these challenging cases as it requires less invasive surgery, allows progressive and adjusta...

Case: A 63 year-old woman with bilateral severe medial knee osteoarthritis, huge cartilaginous defects, and severe varus-valgus instability was treated by tibial condylar valgus (TCV) osteotomy. Her preoperative point of the weight-bearing (mechanical) axis was right -19% and left -20%. After surgery, the mechanical axis was right 60% and left 61% with a high degree of patient satisfaction. Con...

We present a patient with an arteriovenous fistula of the peroneal artery acquired after a left dome tibial osteotomy with midshaft fibular osteotomy. He had subsequently had a total knee replacement on that side. The arteriovenous malformation was only diagnosed when he represented with symptoms and signs of venous hypertension with sterile recurrent haemarthroses in the left knee. Percutaneou...

New developments in osteotomy techniques and methods of fixation have caused a revival of interest of osteotomies around the knee. The current consensus on the indications, patient selection and the factors influencing the outcome after high tibial osteotomy is presented. This paper highlights recent research aimed at joint pressure redistribution, fixation stability and bone healing that has l...

INTRODUCTION Genovarum is a common orthopedic problem. Its optimal prompt treatment is an issue of importance. AIM This study was conducted to determine the radiographic changes in patella bone before and after open wedge high tibial osteotomy. MATERIAL AND METHODS In this quasi-experimental study, 43 patients were enrolled and underwent open wedge high tibial osteotomy and the radiographic...

Osteoarthritis in the setting of varus deformity can be difficult to treat in young and middle aged patients. Treatment options typically include arthroplasty versus joint preservation techniques. In young and middle aged patients, unicompartmental or total knee arthroplasty is often considered a less desirable treatment option due to the increased likelihood of requiring revision arthroplasty ...

Background: This study aimed to assess and provide prospective outcome data following reconstruction of Stage II posterior tibial tendon insufficiency, as well as evaluate the effect of reconstruction with gastrocnemius recession on plantarflexion strength. Methods: A prospective evaluation of 24 patients undergoing reconstruction for Stage II posterior tibial tendon insufficiency was granted I...

J Bone Joint Surg [Br] 2008;90-B:1548-57. New developments in osteotomy techniques and methods of fixation have caused a revival of interest of osteotomies around the knee. The current consensus on the indications, patient selection and the factors influencing the outcome after high tibial osteotomy is presented. This paper highlights recent research aimed at joint pressure redistribution, fixa...