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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 7/2013

01-07-2013 | Knee

Gradual correction of idiopathic genu varum deformity using the Ilizarov technique

Authors: Young Eun Park, Sang Heon Song, Hyeok Nam Kwon, Mohamed Ahmed Refai, Kwang Won Park, Hae Ryong Song

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2013

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Abstract

Purpose

Proximal tibial osteotomy is an effective treatment option for genu varum deformity among the many other described techniques. The purpose of this study is to evaluate the clinical and radiological outcomes and the complications in gradual correction of idiopathic genu varum deformity using Ilizarov frame.

Methods

Proximal tibial medial opening wedge osteotomy was performed in 21 lower limbs of 11 patients, with whom the Ilizarov external fixator was used for gradual correction of the varus deformity. The mean age of the patients was 24.8 years (SD, 5.3). Deformity measurements of conventional mechanical axis deviation, mechanical medial proximal tibial angle, mechanical lateral distal femoral angle, posterior proximal tibial angle, joint conversion angle, tibio-femoral angle and tibial slope were compared.

Results

The mean time for removal of the Ilizarov fixator was 24.7 weeks. At the last follow-up, the mean of Hospital for Special Surgery knee score increased, and the mean mechanical medial proximal tibial angle, tibio-femoral angle and conventional mechanical axis deviation improved. The differences between preoperative and postoperative posterior proximal tibial angle, mechanical lateral distal femoral angle, joint conversion angle and tibial slope were not significant. Ten complications were observed, of which 8 were minor complications and 2 were minor complications.

Conclusion

With a few complications, normal alignment and orientation of lower extremity can be established in patients with idiopathic genu varum deformity through gradual correction using a Ilizarov fixator.

Level of evidence

Retrospective case series, Level IV.
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Metadata
Title
Gradual correction of idiopathic genu varum deformity using the Ilizarov technique
Authors
Young Eun Park
Sang Heon Song
Hyeok Nam Kwon
Mohamed Ahmed Refai
Kwang Won Park
Hae Ryong Song
Publication date
01-07-2013
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2074-7

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