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Corresponding Author

Ahmed Mohamed Ibrahim Albarashi

Document Type

Original Article

Abstract

Background: The pediatric bow knee (genu-varum) is a ubiquitous orthopedic presentation; different surgical procedures have been described to correct this pathological type. In this study, we evaluate the use of the percutaneous tibial osteotomy technique to correct the angular deformity of pediatric patients with genu varum.

Aims and objectives: To assess the correction of the angular deformity in pediatric patients with genu varum using the percutaneous tibial osteotomy technique.

Patients and Methods: We conducted a randomized controlled (closed envelope) prospective interventional study to assess the effectiveness of the percutaneous osteotomy technique in treating pediatric genu varum. This study had 20 cases (35 limbs): 14 males and 6 females, 15 bilateral and 5 unilateral. All patients underwent surgery at Al-Azhar University or Mansoura Health Insurance Hospitals between August 2022 and August 2023.

Results: Post-operatively, the study showed significant radiological improvement in mLDFA, MPTA, and mechanical axis deviation. The patient showed significant clinical improvement, according to the Böstman knee score.

Conclusion: This surgical procedure is a reliable method of correcting genu-varum deformity in children before maturity, with some precautions to reduce the rate of complications reported about their children. Bow legs, or genu-varum

Keywords

Percutaneous; Tibial Osteotomy; Genu Varum Deformity

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