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2015, Number 4

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AMC 2015; 19 (4)

Results of Coventry closing wedge osteotomy in the correction of genu valgum

Sánchez PY, Gutiérrez BMO, Ramos MY, Cabrera RY

Language: Spanish
References: 22
Page: 341-347
PDF size: 581.72 Kb.


ABSTRACT

Background: patients with genu valgum associated or not to lateral unicompartmental osteoarthritis are candidates for distal femoral varus osteotomy.
Objective: to evaluate the results of distal femoral Coventry closing wedge osteotomy in the correction of genu valgum.
Methods: a descriptive, prospective study was conducted in a group of patients with the diagnosis of genu valgum who underwent a Coventry osteotomy in "Octavio de la Concepción y de la Pedraja" Teaching Military Hospital, Camagüey from January 2009 to December 2013. The average time of monitoring of the patients was 26 months. The universe was composed of 39 patients with the diagnosis of genu valgum who underwent a Coventry osteotomy. The sample consisted of 36 patients. The variables of the study were the following: age, sex, knitting time, complications, femorotibial angle and the evaluation according to the evaluative scale for the knee.
Results: the age group 51-60 years old predominated for a 50 %. Female was the most affected sex for a 58, 3 %. The knitting time was from 14 to 24 weeks in the 66, 6 % of the patients. At the end of the treatment, an average femorotibial angle of 4, 5 degrees was achieved and the scale for the knee improved on 33 points. The results of closing wedge osteotomy were excellent in the 97, 2 % of the patients who underwent the operation.
Conclusions: coventry closing wedge osteotomy is an excellent method tocorrect genu valgum.


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