Genu Recurvatum Following Paediatric Femoral Diaphyseal - Fracture : Salter Type V Injury Revisit
Journal Title: Malaysian Orthopaedic Journal - Year 2013, Vol 7, Issue 3
Abstract
A 17-year old boy with a history of a right femoral shaft fracture, fixed with a reamed intramedullary nail four years earlier, presented with a 15° genu recurvatum deformity, presumably due to premature closure of the anterior proximal tibial physeal plate following a Salter type V injury. He was treated with a supra-tubercular anterior opening wedge osteotomy, fixed with two Puddu plates and grafted with bone matrix substitute. The patient went on to unite without complication, but came back to clinic six years later with anterior knee pain and patella infera. The paper discusses genu recurvatum after growth plate arrest and the various techniques to address the problem. Moving the tibial tubercle by including it in the osteotomy should be considered to avoid the complication of patella infera.
Authors and Affiliations
Cogan A, Donell ST
Keywords
Related Articles
- EP ID EP305495
- DOI 10.5704/MOJ.1311.006
- Views 92
- Downloads 0
The Rubber Stopper: A Simple and Inexpensive Technique to Prevent Pin Tract Infection following Kirschner Wiring of Supracondylar Fractures of Humerus in Children
Percutaneous pinning after closed reduction is commonly used to treat supracondylar fractures of the humerus in children. Minor pin tract infections frequently occur. The aim of this study was to prevent pin tract infect...
Osteochondritis Dissecans of the Lateral Femoral Trochlea Healing after Isolated Medial Patellofemoral Ligament Reconstruction: A Case Report
We report on a 12 years old female patient who had been diagnosed with patellofemoral instability – recurrent dislocation and anterior knee pain. Radiologic evaluation further revealed osteochondritis dissecans (OCD) of...
Septic Arthritis of Lumbar Facet Joint with Co-Existing Spondylolisthesis – A Case Report
We report a rare case of septic arthritis of the lumbar facet joint (SALFJ) with co-existing spondylolisthesis of the L5 on S1 vertebra and discuss possible differential diagnoses, diagnostic difficulties and management...
Dupuytren Contracture in a Patient with Congenital Camptodactyly and Incidental Carpal Tunnel Syndrome
Dupuytren contracture is commonly seen in northern European populations but not in Asians. Even more rare is a presentation of flexion deformity of fingers involving two different pathologies with incidental carpal tunne...
The Effects of Total Knee Arthroplasty on Sleep Quality
INTRODUCTION: Symptomatic osteoarthritis is one of the most common indications for total knee arthroplasty (TKA) operations. Pain in every stage of the disease causes sleep disturbances in patients. The primary objective...