Femur originated genu varum in a patient with symptomatic ACL deficiency: a case report and review of literature

BMC Musculoskeletal Disorders

Reza Rezaei Dogahe¹  Seyed MohammadJavad Mortazavi¹  Abbas Noori¹  Mohammad Javad Shariyate¹  Farzad Vosoughi¹ 

[1] Hip and Knee arthroplasty, Joint Reconstruction Research Center, Imam Khomeini hospital, Tehran University of Medical Sciences, End of Keshavarz Blvd, 1419733141, Tehran, Iran;

关键词: ACL reconstruction;    Osteotomy;    Knee arthroscopy;   

DOI  :  10.1186/s12891-021-04274-w

来源: Springer

【 摘 要 】

BackgroundAnterior cruciate ligament (ACL) injury may be associated with genu varum. There are a few indications in which the varus deformity can be corrected at the time of ACL reconstruction. However, as the genu varum originates mostly from the tibia and the simultaneous presence of ACL deficiency and femur originated genu varum is uncommon, only a few papers have described their management for ACL deficient patients with femur originated genu varum.Case presentationA young patient visited our clinic with a complaint of right knee pain and giving way. Further work up revealed a full mid substance ACL tear, mild medial knee osteoarthritis and femur originated genu varum of his right knee. He was managed with simultaneous ACL reconstruction and distal femoral valgus osteotomy.ConclusionsAny corrective osteotomy for genu varum should be performed at center of rotation angle. Isolated ACL reconstruction in patients with simultaneous ACL deficiency and genu varum may hasten the knee degeneration.Level of evidenceIV

【 授权许可】

CC BY