Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Paediatrics
Abstract number: 25338
GENU VALGUM DEFORMITY CORRECTION BY LATERAL GRADUAL
DISTRACTION
Kuldeep MALIK, Shailendra C GUPTA, Rajat GUPTA, Ram AVTAAR, Sudhir K
KAPOOR
PGIMER, ESI Hospital, New Delhi (INDIA)
Background: Various methods for correction of genu valgum deformity include
osteotomies like wedge, dome and v shaped. These are complex surgeries with high
rate of complications.We present a simple technique of correcting genu valgum
deformity by gradual lateral distraction by modified Illizarov. Materials and methods:
We corrected Genu Valgum deformity in the age group above 11 years in girls and
12 years in boys with intermalleolar distance more than 10 cms and stable joint.Two
half rings of illizarov are applied on lateral side of thigh with two schanz pin in each
ring and rings are connected with hinges on threaded rods. Corticotomy is done at
metaphyseo-diaphyseal junction between rings and gradual lateral distraction is done
after 7day till correction of valgum deformity i.e; correction of Mechanical axis. Rings
are removed after consolidation of corticotomy. RESULT: The results were evaluated
by assessing clinical, functional and radiological parameters ie.mechanical axis. All
cases had good result with few complication of pin track infection and some
translation of corticotomy in case of very severe deformity. CONCLUSION: Gradual
deformity correction is a simple, safe technique of genu valgum deformity correction
with minimal scar and early mobilization.
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