IntroductionFor treatment of ligament-related genu recurvatum the authors developed a technique of retightening the posterior capsule without affecting its integrity. The technique addresses poorly tolerated constitutional genu recurvatum and ligament-related genu recurvatum [16]. This technique is not indicated for genu recurvatum due to osseous deformity, the correction of which obviously involves an osseous intervention [9]. In ligament-related genu recurvatum, in which capsuloligamentous distension typically progressively develops during a chronic phase that can follow severe sprains of the knee (Fig. 1). The authors propose an original technique of tightening the posterior capsule without altering its integrity as would section followed by suturing. Section techniques are frequently subject either to secondary distension or to limitation of knee extension by excessive tightness. Surgical technique Principle of the techniqueThe technique is based upon retightening the posterior capsule and ligament without altering their continuity, in contrast with the technique of section followed by suturing the overlapping edges of the incised capsule. Among its advantages, the present technique does not modify the anatomical position of these insertions, obviating potential dynamic functional pitfalls. The postoperative healing process involves osseous consolidation, which is less haphazard than ligamentous healing. Finally, the simplicity of the intervention and the possibility of secure fixation with osteosynthesis foster relatively early rehabilitation.Abstract The authors report an original technique for treating the genu recurvatum of ligamentous origin. Therapeutic modalities for genu recurvatum are complex and vary with the cause. Moreover, the operations that are designed to correct posterior capsuloligamentous laxity in the knee by exclusively nonosseous procedures frequently lead to secondary distension or to limitation of knee extension by excessive tightness. The authors propose a technique for tightening the posterior capsule without altering its integrity, as would section followed by suturing. The technique, which consists in rolling the bony insertions of the posterior capsule, is described, along with preliminary results in 11 patients.
No abstract
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.