در بيمارستان بقيه اله الاعظم عج DISPLACEMENT BLADE PLATE تعيين كارآيي درمان ژنووالگوم با استيوتومي از سمت مديال و استفاده از

Treatment of Genu-valgum Through Medial Approach and Osteotomy with Displacement Blade Plate

Background: In Genu-valgum tibiofemoral angle increases above its normal value of 6°. This disorder causes difficulty in walking and sport activities in short-term. But in long-term, because of increased force on lateral compartment of the knee, osteoarthritic changes of the lateral side of the knee and ligamentous laxity of medial side of knee could happen. In the past, osteotomies have been done on lateral side of distal femur for correction of Genuvalgum. We are suggesting a medial approach, posterior to vastus medialis with close-wedge osteotomy from medial side as an alternative approach for correction of genovalgum. Method: A Clinical trial study of 20 lower limbs operated between 1988 to 2002. Results: 20 lower limbs were operated with this technique. The mean age was 23.2, 14 patients were female and 2 male. 10 limbs were left and the other 10 were right side. Mean valgus angle was 14.75° preoperatively and 3° postoperatively.The mean follow-up period was 628 days (Minimum 50 and maximum 1111 days). At follow-up, the range of knee motion in all limbs was normal. There was no infection postoperatively, quadriceps force was 515 in 18 and 4/5 in two limbs. Functional improvement was observed in 15 cases and all 16 patients had full satisfaction from the appearance of the limbs.