Femur originated genu varum in a patient with symptomatic ACL deficiency: a case report and review of literature

Abstract

Background Anterior cruciate ligament (ACL) injury may be associated with genu varum. There are a few indications in which the varus deformity can be corrected at the time of ACL reconstruction. However, as the genu varum originates mostly from the tibia and the simultaneous presence of ACL deficiency and femur originated genu varum is uncommon, only a few papers have described their management for ACL deficient patients with femur originated genu varum. Case presentation A young patient visited our clinic with a complaint of right knee pain and giving way. Further work up revealed a full mid substance ACL tear, mild medial knee osteoarthritis and femur originated genu varum of his right knee. He was managed with simultaneous ACL reconstruction and distal femoral valgus osteotomy. Conclusions Any corrective osteotomy for genu varum should be performed at center of rotation angle. Isolated ACL reconstruction in patients with simultaneous ACL deficiency and genu varum may hasten the knee degeneration. Level of evidence IV

Effect of lateral wedge-shaped orthopedic insole on patients with genu varus: A protocol for systematic review and meta-analysis

“…However, there are relevant literature reports that in addition to congenital genetic malformations [2], Acquired factors such as vitamin D deficiency [3], weight [4,5], sport events [6] are relevant to GV. Some studies have shown that GV affects people's posture and movement mode, causes the force imbalance between the inner and outer space of the knee joint, which may eventually lead to knee osteoarthritis (KOA) [7] or Anterior cruciate ligament injury [8]; GV not only affects the knee itself but also has a complex impact on the biomechanics of the lower limbs. Jeong Bo et al found that patients with GV are often accompanied by foot compensatory changes such as subtalar joint rotation and arch collapse, which leads to the change of biological force line of lower limbs and finally systemic symptoms [9].…”