Two level osteotomies in bilateral genu valgum: A case report

Abstract

Genu valgum is Latin derived term, commonly known as knock-knees, in which there is outward deviation of legs so that there is medial angulation at the knee. They are spontaneously corrected by 7 years of age. It is deemed that valgus (femorotibial alignment) of more than 15° (taking into consideration the measuring error) above 8 years of age is pathological. There are wide array of treatment options for deformity prevention & correction. We report an 18-year-old male who noticed progressive deformity in his bilateral knees for 7 years with bilateral knee pain & problems while walking. After necessary investigations and pre-operative planning, patient underwent two level osteotomies – distal lateral femur open wedge osteotomy with bone grafting and proximal medial tibial closed wedge osteotomy augmented with fibula osteotomy. At final follow-up, the patient has a good functional result.