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Prakash J, Boruah T, Mehtani A, et al. Experience of supracondylar cheveron osteotomy for genu valgum in 115 adolescent knees. J Clin Orthop Trauma. 2017;8(3):285-292doi: 10.1016/j.jcot.2017.05.017.
Prakash, J., Boruah, T., Mehtani, A., Chand, S., & Lal, H. (2017). Experience of supracondylar cheveron osteotomy for genu valgum in 115 adolescent knees. Journal of clinical orthopaedics and trauma, 8(3), 285-292. https://doi.org/10.1016/j.jcot.2017.05.017
Prakash, Jatin, et al. "Experience of supracondylar cheveron osteotomy for genu valgum in 115 adolescent knees." Journal of clinical orthopaedics and trauma vol. 8,3 (2017): 285-292. doi: https://doi.org/10.1016/j.jcot.2017.05.017
Prakash J, Boruah T, Mehtani A, Chand S, Lal H. Experience of supracondylar cheveron osteotomy for genu valgum in 115 adolescent knees. J Clin Orthop Trauma. 2017 Jul-Sep;8(3):285-292. doi: 10.1016/j.jcot.2017.05.017. Epub 2017 Jun 13. PMID: 28951649; PMCID: PMC5605728.
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J Clin Orthop Trauma. 2017 Jul-Sep;8(3):285-292. doi: 10.1016/j.jcot.2017.05.017. Epub 2017 Jun 13.

Experience of supracondylar cheveron osteotomy for genu valgum in 115 adolescent knees.

Journal of clinical orthopaedics and trauma

Jatin Prakash, Tankeswar Boruah, Anil Mehtani, Suresh Chand, Hitesh Lal

Affiliations

  1. Central Institute of Orthopaedics, Safderjung Hospital and VMMC, Delhi-29, India.
  2. Department of Orthopaedics, Lady Hardinge medical College, Shaheed Bhagat Singh Marg, New Delhi-110002, India.

PMID: 28951649 PMCID: PMC5605728 DOI: 10.1016/j.jcot.2017.05.017

Abstract

PURPOSE: Medial close wedge Coventry type osteotomy is commonly performed procedure for adoloscent Genu valgum. However this osteotomy has some inherent problems, a wedge resection causes shortening of affected site. An additional plate for stabilization causes increase in soft tissue dissection and surgical time. A cheveron osteotomy is an alternative procedure, not requiring any internal fixation due to its inherent stability. We started this study with aim to analyze the results of Cheveron osteotomy, to see if the osteotomy was stable enough without implants, time required for healing of osteotomy, post-operative range of motion, limb length discrepancy and to evaluate any other complication.

METHODS: This study was conducted to evaluate the efficacy of cheveron osteotomy in cases with genu valgum in our department from 2005 to 2012. 75 children with 115 knee deformities were included in the study. Patients were followed upto minimum 3 years post surgery. Clinical and radiological assessment was done on all subsequent visits.

RESULTS: Preoperative mean valgus angle was 21° (12-30°) and mean inter malleolar distance was 12.3 cm(11-21 cm). The mean post-operative angle was 6.5° and mean intermalleolar distance was 5.6 cm. The difference was statistically significant. The mean tourniquet time was 26 min and mean surgical time including plaster cast application was 38 min. Mean blood loss was 75 ml. The mean time to union was 10.3 weeks.

CONCLUSION: Supracondylar cheveron osteotomy is simple, stable, low cost osteotomy for surgical correction of genu valgum. The osteotomy provides excellent clinical, radiological and functional results in short surgical time and has an added advantage of omitting the need of second surgery.

Keywords: Cheveron; Genu valgum; Osteotomy; Rickets

References

  1. J Orthop. 2013 Oct 23;10(4):196-9 - PubMed
  2. J Bone Joint Surg Am. 1979 Apr;61(3):320-9 - PubMed
  3. J Bone Joint Surg Br. 2010 Feb;92(2):273-6 - PubMed
  4. J Child Orthop. 2008 Jun;2(3):187-97 - PubMed
  5. Acta Orthop Scand. 1982 Aug;53(4):567-70 - PubMed
  6. Clin Orthop Relat Res. 1987 Apr;(217):214-20 - PubMed
  7. J Bone Joint Surg Am. 1973 Jan;55(1):23-48 - PubMed
  8. J Pediatr Orthop. 2007 Apr-May;27(3):253-9 - PubMed
  9. Orthopedics. 1981 Sep 1;4(9):1005-15 - PubMed
  10. Acta Orthop Belg. 2014 Jun;80(2):234-40 - PubMed
  11. J Bone Joint Surg Am. 1993 Aug;75(8):1148-56 - PubMed
  12. J Pediatr Orthop. 2010 Sep;30(6):594-7 - PubMed
  13. Rev Chir Orthop Reparatrice Appar Mot. 1985;71(5):319-25 - PubMed
  14. Clin Orthop Relat Res. 1972 Mar-Apr;83:157-62 - PubMed
  15. Arthrosc Tech. 2016 Jul 11;5(4):e725-e730 - PubMed
  16. Indian J Orthop. 2015 Mar-Apr;49(2):208-18 - PubMed
  17. J Bone Joint Surg Am. 1975 Mar;57(2):259-61 - PubMed
  18. Pediatr Clin North Am. 2014 Dec;61(6):1175-83 - PubMed
  19. Clin Orthop Relat Res. 1971;77:149-57 - PubMed
  20. Bone Joint Res. 2013 Aug 14;2(8):155-61 - PubMed

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