The successful treatment of genu recurvatum as a complication following eight-Plate epiphysiodesis in a 10-year-old girl

Kievit, Arthur J.; Duijvenbode, Dennis C. van; Stavenuiter, Michel H.J.

doi:10.1097/bpb.0b013e3283623b2c

Cited by 10 publications

(4 citation statements)

References 14 publications

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“…This technique allows timing to be less precise and the leg lengths to be equalized at an earlier age, as long as the tension implant is removed in a 2-year time period [18]. Complications include inducing deformity at the joint due to placement of the tension device anterior or posterior to the center of the lateral physis and can be corrected by repositioning the implants [19]. Long-term outcomes of temporary epiphysiodesis are favorable, with deformities corrected during treatment time with removing one side of the tether [20].…”

Section: Growth Modulationmentioning

confidence: 99%

Lower extremity growth and deformity

Whitaker

Vuillermin

2016

Curr Rev Musculoskelet Med

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The pediatric lower extremity has well known growth patterns. When deformities or growth disturbances occur, there are several methods to measure and predict the resulting discrepancy, including the Green-Anderson, Moseley, and Multiplier methods. Many techniques exist to correct leg length discrepancy and deformity such and temporary epiphysiodesis, permanent epiphysiodesis, external fixators, and internal lengthening devices. All of these methods have numerous complications and limitations; however, with careful planning and patient selection, length and alignment can be improved with high patient satisfaction.

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Section: Growth Modulationmentioning

confidence: 99%

Lower extremity growth and deformity

Whitaker

Vuillermin

2016

Curr Rev Musculoskelet Med

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“…In 2021, Stevens, Stephens, and Rothberg 23 also described guided growth of the tibial recurvatum by posterior epiphysiodesis of the proximal tibia using the Eight-Plate, with excellent results. Kievit, van Duijvenbode, and Stavenuiter 24 reported a case of knee recurvatum as a complication of treatment of lower limb length discrepancy with temporary epiphysiodesis of the distal femur and proximal tibia using Eight-Plate. The hypothesis is that the recurvate was caused by a very anterior positioning of the plates, and then the correction of the recurved deformity was obtained with the surgical reapproach and posterior replacement of the plates in the distal femur.…”

Section: Discussionmentioning

confidence: 99%

Distal Femur Hemiepiphysiodesis in Knee Recurvatum: A New Surgical Technique

MONTENEGRO,

GENEROSO,

SERAFIM

et al. 2023

Acta ortop. bras.

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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.

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“…In 2021, Stevens et al (22) described guided growth for tibial recurvatum by posterior proximal tibial epiphysiodesis using eight plates, obtaining excellent results. Kievit et al (23) reported a case in which genu recurvatum was a complication of the treatment of lower limb length discrepancy through temporary epiphysiodesis of the distal femur and proximal tibia with eight plates. The hypothesis is that recurvatum was caused by the very anterior positioning of the plates.…”

Section: Discussionmentioning

confidence: 99%

Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal

2022

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Genu recurvatum is characterized as an hyperextension deformity of the knee in the sagittal plane and can be associated to structured equinus deformity of the ankle and foot. Amongst its causes are conditions like arthrogryposis, cerebral palsy, tibial tuberosity arrest, poliomyelitis and syndromes with generalized ligamentous hyperlaxity. The treatment of this condition can be challenging, specially when associated with equinus of the foot and, to date, aggressive methods such as femur or tibia osteotomies are the most used for its correction. We describe here a safe and minimally invasive technique with posterior hemiepiphysiodesis of the distal femur performed with transphyseal screws for correction of the genu recurvatum with apex on the distal femur associated with rigid equinus of the foot due to tarsal coalition. This technique has great potential for correcting the recurvate knee in the immature skeleton and can be an excellent alternative to the more aggressive methods currently used for the treatment of this deformity. Level of Evidence V; Therapeutic Studies; Expert Opinion.

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The successful treatment of genu recurvatum as a complication following eight-Plate epiphysiodesis in a 10-year-old girl

Cited by 10 publications

References 14 publications

Lower extremity growth and deformity

Lower extremity growth and deformity

Distal Femur Hemiepiphysiodesis in Knee Recurvatum: A New Surgical Technique

Posterior femoral hemiepiphysiodesis for genu recurvatum with equinus foot deformity: a novel surgical proposal

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