DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUE.

INTRODUCTION

The genu recurvatum is characterized by a hyperextension deformity of the knee in the sagittal plane. Among its causes are conditions such as arthrogryposis, cerebral palsy, poliomyelitis, sequelae of tibial tuberosity fracture and some syndromes with generalized joint hypermobility. Treatment of this deformity can be challenging and, to date, aggressive methods such as femur or tibial osteotomies are the most used for its correction.

OBJECTIVE

This study aimed to describe a new surgical technique for correcting genu recurvatum.

METHODS

This is a prospective clinical study of children who underwent posterior hemiepiphysiodesis of the distal femur with transphyseal screws.

RESULTS

The approach proved to be safe and useful for genu recurvatum deformities, with femoral or articular apex.

CONCLUSION

This approach shows great potential for correcting genu recurvatum in the developing skeleton, being an excellent alternative to the more aggressive methods currently used to treat this deformity. Level of evidence IV, Case Series.