Rare case of bilateral anterolateral and symmetrical bowing of tibia successfully treated with a distal tibial opening wedge osteotomy

Abstract The anterolateral bowing of the tibia is closely associated with the development of its pseudarthrosis. Roughly, all deformities are unilateral so the shortening and angulation are easy to identify. We present a 6-year-old boy with an exuberant bilateral anterolateral bowing of tíbia. He has short stature, disturbed gait and callosity at the lateral border of the foot. Deformity was successfully treated by opening wedge tibia osteotomy and filled the remaining gap with structural fibular graft. It was fixed with two crossed K-wires and cast immobilization for 6 weeks. We decided to correct it before skeletal maturity due to the significant disturbance of the gait and esthetic impairment. It was obtained a satisfactory morphological and functional result with a simple and fast technique.

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Genu Recurvatum after Tibial Tuberosity Fracture

Case Reports in Orthopedics ◽

10.1155/2013/952978 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Senthil T. Nathan ◽

Shital N. Parikh

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Skeletal Maturity ◽

Treatment Plan ◽

Tibial Tuberosity ◽

Wedge Osteotomy ◽

Opening Wedge ◽

Tibial Tuberosity Fracture ◽

Genu Recurvatum ◽

Fracture Management

Fractures of the tibial tuberosity are infrequent injuries that occur during adolescence. Displaced tibial tuberosity fractures are typically treated with open reduction and internal fixation. Since these fractures occur at or near skeletal maturity, growth disturbances are not seen. This paper presents a case, the first report to our knowledge, of genu recurvatum deformity after open reduction and internal fixation of a tibial tuberosity fracture. A successful treatment plan of tibial tuberosity osteotomy with proximal tibial opening wedge osteotomy was used for the correction of genu recurvatum deformity and to maintain appropriate patellar height. At eighteen-month followup, the deformity remains corrected with satisfactory functional results. This case highlights the importance of recognition of potential complications of fracture management in adolescence.

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Titrating the Amount of Bony Correction in Progressive Collapsing Foot Deformity

Foot & Ankle International ◽

10.1177/1071100720950741 ◽

2020 ◽

Vol 41 (10) ◽

pp. 1292-1295

Author(s):

Scott J. Ellis ◽

Jeffrey E. Johnson ◽

Jonathan Day ◽

Cesar de Cesar Netto ◽

Jonathan T. Deland ◽

...

Keyword(s):

Reconstructive Surgery ◽

Wedge Osteotomy ◽

Foot Deformity ◽

Level Of Evidence ◽

Opening Wedge ◽

Lateral Column ◽

Medial Cuneiform ◽

Lateral Column Lengthening ◽

Typical Range ◽

Consensus Expert

Recommendation: There is evidence indicating that the amount of bony correction performed in the setting of progressive collapsing foot deformity reconstructive surgery can be titrated within a recommended range for a variety of procedures. The typical range when performing a medial displacement calcaneal osteotomy should be 7 to 15 mm of medialization of the tuberosity. The typical range when performing an Evans lateral column lengthening should be 5 to 10 mm of a laterally based wedge in the anterior calcaneus. The typical range when performing a plantarflexion opening wedge osteotomy of the medial cuneiform (Cotton) osteotomy should be 5 to 10 mm of a dorsal wedge. Level of Evidence: Level V, consensus, expert opinion.

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