Outcome of corrective osteotomy in case of Genu valgum stabilised by K-wire fixation under 18 years of age

Author(s): RCS Khandelwal, Pratik Kotangale, Shiva Chahal and Neeraj Kalra

Abstract: Background: Objective was to study functional outcome of k-wire fixation in Genu valgum patients under 18 years age.
Methods: Medial wedge osteotomy was done in all Genu valgum patients with significant deformity and was fixed with medial k-wires followed by postoperative cast. Patients were assessed by preoperative and postoperative LDFA and TFA for correction and postoperative Bostman Score was assessed for functional outcome.
Results: 27 Genu valgum patients (19 females and 8 males) were assessed in this study. There was significant correction in the mean radiological tibio-femoral angle and lateral distal femoral angle from 17.940 to 8.040 and 88.950 to 78.750, respectively. At 3 month postoperatively Bostman score 88.9% had more than good score while after 6 month all patients had more that good score.
Conclusion: This osteotomy with k-wire fixation is less morbid, with minimal implants, safe and effective procedure with good correction in radiological parameters and better functional outcome with minimal complications.

DOI: https://doi.org/10.22271/ortho.2022.v8.i1k.3098