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 87
- Downloads 0
Isolated Fractures of the Body of Scapula
Fractures of the scapula body are relatively rare constituting 1% of all fractures and 5% of all fractures around shoulder 1. They are usually caused due to high energy vehicular trauma or fall of heavy object over scapu...
Dystrophic Scoliosis in Neurofibromatosis and Rib-head Resection: A Case Report
Surgical management of scoliosis in Neurofibromatosis type I may be challenging at times especially when dealing with dystrophic curves. We highlight the importance of meticulous study of the radiological imaging and car...
Efficacy, Side Effects, Safety and Effects on Bone Turnover Markers of once a Week Sandoz Alendronate Sodium Trihydrate 70 mg
This open trial study was carried out to evaluate safety, side effects and efficacy of once a week alendronate sodium trihydrate (Sandoz, Pyrmant, Australia) for inhibiting bone resorption and bone turnover in 35 postmen...
Cortical Blindness In Fat Embolism Syndrome Following Fracture Manipulative Procedure
Fat embolism syndrome is a well-recognised sequela of long bone trauma as well as intramedullary orthopaedic procedures. However, it has rarely been described following manipulation, reduction of fracture, and applicatio...
Ipsilateral Acute Monteggia Lesion and Malunion of Galeazzi Fracture in an Adult. A Case Report
Presentation of Monteggia and Galeazzi fractures in the same limb is a rare injury. We report an unusual case in which an acute Monteggia fracture was associated with a malunited Galeazzi fracture in an adult patient. Th...