Reachout Orthopedics - Issue 1

ANTERIOR OPEN-WEDGE HEPTA- LATERAL OSTEOTOMY FOR SEVERE POST-TRAUMATIC GENU RECURVATUM: A CASE REPORT AND REVIEW OF THE LITERATURE Artit Boonrod 1 *, Kamolsak Sukhonthamarn 1 , Punyawat Apiwatanakul 1 1  Department of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand *artibo@kku.ac.th G enu recurvatum is the condition that there is excessive extension of the tibiofemoral joint and the knee bends backward to the axis. The two mainly etiologies are congenital and acquired. The cause of acquired genu recurvatum includes trauma, postoperative complication, Osgood–Schlatter disease, and idiopathy. The situation that deformity occurs after the injury is also called genu recurvatum traumaticum [1, 13, 18, 19]. Some patients may not have any problems. However, the deformity can progress and produce the symptom in advance in which the common issues are cosmesis, pain, instability, and abnormal gait. Management depends on the severity and the knee structure injuries, soft tissue or osseous. Three types of the operation on the genu recurvatum are arthrodesis, tibial osteotomy and soft tissue procedure [2, 3, 7, 9, 12]. We report a malunion of the intra-articular fracture of the proximal tibia with severe recurvatum that was surgically corrected with the new open osteotomy technique. And, we also reviewed the related studies. Case Report An 18-year-old man was presented with severe genu recurvatum and fixed equinus deformity of the left leg. Six months before coming to our hospital, he had a traffic accident and injured on the left knee. Then, he went to the first hospital, and the diagnosis was the fracture of left proximal tibia. His left leg was immobilized with long leg cast for 6 weeks. After the cast removed, he had no pain in the left knee, but he felt unstable at the knee joint while he was walking, and the sensation on the dorsal aspect of the left foot Case Reports 13 Severe post-traumatic genu recurvatum is an uncommon condition in orthopedics. The typical symptoms are pain, weakness, and instability. For severe and symptomatic genu recurvatum patient, the surgical correction should be performed to relieve symptoms and prevent progression of deformity.