TREATMENT OF RECURVATUM KNEE IN A PATIENT WITH CEREBRAL PALSY BY POSTERIOR DISTAL FEMORAL HEMIEPIPHYSIODESIS. A CASE REPORT.

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Published Nov 29, 2023
DOI: https://doi.org/10.18103/mra.v11i11.4643

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Main Article Content

Nei Botter Montenegro, MD
Pediatric Orthopedic Surgeon at Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de Sao Paulo, Brazil and Hospital Israelita Albert Einstein, Sao Paulo, Brazil.

Abstract

Genu recurvatum is characterized as an hyperextension deformity of the knee in the sagittal plane, with impacts on walking, pelvis tilting and also on ankle’s and foot’s biomechanics. Amongst its causes are conditions like cerebral palsy, poliomyelitis, arthrogryposis, tibial tuberosity arrest and syndromes with generalized ligamentous hyperlaxity. Specially in cerebral palsy, factories like hamstrings lengthening and equinus deformity of the foot can produce this knee condition. The treatment methods to correct this deformity are more aggressive to date, such as quadricepsplasty, hamstring tenomyoplasty and femur or tibia osteotomies.


We describe here the treatment of a patient with mild hemiparetic hypertonic cerebral palsy GMSCF I, with unilateral genu recurvatum, using a safe and minimally invasive technique with posterior hemiepiphysiodesis of the distal femur, performed with two transphyseal cannulated screws for correction. This technique has great potential for correcting the recurvatum knee in the immature skeleton during growth and can be a good alternative to the more aggressive methods currently used for the treatment of this deformity

Keywords: bone retrovertion (c05.116.214.750) / orthopedic procedures (e02.718) / minimally invasive surgical procedures (e04.502) / knee joint (a02.835.585.475)/ growth and development (q000254) / growth plate (a02.835.232.251.352)/ cerebral palsy

Article Details

How to Cite
MONTENEGRO, Nei Botter. TREATMENT OF RECURVATUM KNEE IN A PATIENT WITH CEREBRAL PALSY BY POSTERIOR DISTAL FEMORAL HEMIEPIPHYSIODESIS. A CASE REPORT.. Medical Research Archives, [S.l.], v. 11, n. 11, nov. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/4643>. Date accessed: 16 may 2024. doi: https://doi.org/10.18103/mra.v11i11.4643.
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Issue
Vol 11 No 11 (2023): November Issue, Vol.11, Issue 11
Section
Research Articles

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