Two-level Osteotomy for Genu Valgum with Tibia Valga: Surgical Planning and Execution.

J Orthop Case Rep

Department of Orthopedics, Baroda Medical College and SSG Hospital, Vadodara, Gujarat, India.

Published: January 2021

Introduction: Proximal tibial injury leading to tibia valga which, in turn, leading to genu valgum is well described deformity. Management options vary between growth modulation and corrective osteotomy. Osteotomy which is used for skeletally mature patients can either be done in single stage or in multiple stages or in gradual manner.

Case Report: We describe here a method to obtain single-stage correction with two-level osteotomy in a 20-year-old patient. It includes medial closing wedge osteotomy at distal femur and translational osteotomy at tibial shaft.

Conclusion: This method of two-level osteotomy recognizes and treats two deformities (i.e., genu valgum and tibia valga) separately and achieves correction in one stage with perfect restoration of mechanical axis of lower limb and joint line obliquity of knee.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8046486PMC
http://dx.doi.org/10.13107/jocr.2021.v11.i01.1954DOI Listing

Publication Analysis

Top Keywords

two-level osteotomy
12
genu valgum
12
tibia valga
12
valgum tibia
8
osteotomy
6
osteotomy genu
4
valga surgical
4
surgical planning
4
planning execution
4
execution introduction
4

Similar Publications

Article Synopsis
  • Osteotomy procedures help correct kyphosis and improve spinal alignment but raise concerns about potential injury to the aorta during surgery.
  • A study involved 16 patients with ankylosing spondylitis undergoing a two-level osteotomy, using aortic CT scans and 3D models to analyze structural changes.
  • Post-surgery findings showed that the aorta's length increased, curvature decreased, but transverse diameter remained stable; however, blood flow velocity, blood pressure, and wall shear stress all significantly decreased.
View Article and Find Full Text PDF
Article Synopsis
  • This study examines a new treatment strategy, involving one-level modified osteotomy combined with shoulder lifting correction, for severe kyphosis in patients with advanced ankylosing spondylitis (AS), addressing challenges linked to traditional two-level osteotomies.* -
  • A retrospective review of 70 patients treated from 2012 to 2022 showed significant improvements in spinal alignment and pelvic parameters post-surgery, with key metrics indicating a restored sagittal balance and better overall spinal health.* -
  • The results included a notable reduction in global kyphosis from 90.6° to 35.6° and significant clinical improvements in disability and quality of life as measured by established indices, demonstrating the effectiveness of the proposed treatment approach
View Article and Find Full Text PDF

Purpose: To identify the factors associated with a correction of the segmental angle (SA) with a total change greater than 10° in each level following minimally invasive oblique lumbar interbody fusion (MIS-OLIF).

Methods: Patients with lumbar spinal stenosis who underwent single- or two-level MIS-OLIF were reviewed. Segments with adequate correction of the SA >10° after MIS-OLIF in immediate postoperative radiograph were categorized as discontinuous segments (D segments), whereas those without such improvement were assigned as continuous segments (C segments).

View Article and Find Full Text PDF

Background: The purpose of this study was to create a mathematical model to precalculate the acreage change in the abdominal median sagittal plane (ac-AMSP) of patients with ankylosing spondylitis (AS) for whom two-level pedicle subtraction osteotomy (PSO) was planned.

Methods: A single-centre retrospective review of prospectively collected data was conducted among 11 adults with AS. Acreage of the abdominal median sagittal plane (a-AMSP) was performed.

View Article and Find Full Text PDF

Introduction And Importance: A high-angle thoracolumbar kyphotic deformity (TLKD) may complicate surgical rectification of AS patients since one-stage two-level pedicle subtraction osteotomy (PSO), which provides high-angular correction, leads to excessive blood loss, neurological deficits and fixation failures. This case series presents the long-term results of one-stage single level PSO with Ponte osteotomy (PO) in the treatment of AS patients with high-angle TLKD.

Case Presentation: This case series presents two AS patients with high kyphotic angles (KAs) of 86.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!