Epiphyseal stapling of the proximal tibia for idiopathic genu valgum.

Courvoisier, Aurélien; Eid, Ahmad; Merloz, Philippe · J Child Orthop · 2009

retrospective_cohort · Level III

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Abstract

The purpose of this study is to evaluate the clinical and radiological outcomes of hemiepiphysiodesis with a single medial staple of the proximal tibia in idiopathic genu valgum angular correction. A retrospective review was performed identifying nine adolescents (18 knees) treated for idiopathic adolescent genu valgum by means of a bilateral hemiepiphysiodesis with a single staple of the proximal tibia. The intermalleolar distance (IMD) and hip-knee-ankle angle were measured at skeletal maturity. The IMD and hip-knee-ankle angle were reduced in all patients at skeletal maturity. Hemiepiphysiodesis with a single medial staple of the proximal tibia seems to be a reliable and safe alternative method to achieve correction of an idiopathic genu valgum.

Anatomy