GENU RECURVATUM as a late complication of femoral fracture in children
- Authors: Kuzmin V.P.1, Tarasov S.O.1
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Affiliations:
- State budgetary institution of healthcare of Kaluga region “Kaluga region children’s hospital”
- Issue: Vol 5, No 1 (2017)
- Pages: 58-62
- Section: Articles
- URL: https://journals.rcsi.science/turner/article/view/6159
- DOI: https://doi.org/10.17816/PTORS5158-62
- ID: 6159
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Abstract
Genu recurvatum is an uncommon condition in children. Occasionally, it may occur as a late complication of femoral shaft fracture. There are studies that describe the possibility of genu recurvatum occurrence due to the tibial pin traction and without tibial tuberosity pinning. The primary traumatic reasons are Salter – Harris V-type fractures of the tibial tuberosity and tuberosity avulsion. Our case of genu recurvatum occurrence in an 8-year-old girl with femoral shaft fracture 3 years after trauma confirms the importance of this complication. We believe that the etiology of tibial physeal closure and genu recurvatum after femoral fracture in children is unclear. It seems that identifying one cause for this serious complication in all cases is not possible. However, for complete elimination of iatrogenic factors, we recommend not to put the wire through tibial tuberosity in cases where traction is necessary.
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##article.viewOnOriginalSite##About the authors
Vadim P. Kuzmin
State budgetary institution of healthcare of Kaluga region “Kaluga region children’s hospital”
Author for correspondence.
Email: tarasov-so@yandex.ru
MD, head of department of traumatology and orthopedics
Russian FederationSergei O. Tarasov
State budgetary institution of healthcare of Kaluga region “Kaluga region children’s hospital”
Email: tarasov-so@yandex.ru
MD, orthopedic and trauma surgeon of department of traumatology and orthopedics
Russian FederationReferences
- Beslikas T, Christodoulou A, Chytas A, et al. Genu recurvatum deformity in a child due to Salter Harris Type V fracture of the proximal tibial physis treated with high tibial dome osteotomy. Case Rep Orthop. 2012;2012. ID: 219231. doi: 10.1155/2012/219231.
- Frey S, Hosalkar H, et al. Tibial tuberosity fractures in adolescents. J Child Orthop. 2008;2(6):469-474. doi: http://dx.doi.org/10.1007/s11832-008-0131-z.
- Bellicini C, Khoury JG. Correction of genu recurvatum secondary to Osgood-Schlatter disease: a case report. Iowa Orthop J. 2006;26:130-3.
- Caillon F, Rigault P, Padovani JP, et al. Injuries of the upper end of the tibia in children. With the exclusion of fractures of the tibial shaft. Chir Pediatr. 1990;31(6):322-32.
- Van Meter JW, Branick RI. Bilateral genu recurvatum after skeletal traction. A case report. J Bone Joint Surg Am. 1980;62(5):837-9. doi: 10.2106/00004623-198062050-00025.
- Bjerkreim I, Benum P. Genu recurvatum: a late complication of tibial wire traction in fractures of the femur in children. Acta orthop scand. 1975;46(6):1012-1019. doi: 10.3109/17453677508989291.
- Bowler JR, Mubarak SJ, Wenger DR. Tibial physeal closure and genu recurvatum after femoral fracture: occurrence without a tibial traction pin. J Pediatr Orthop. 1990;10(5):653-7. doi: 10.1097/01241398-199009000-00016.
- Ishikawa H, Abrahan LM Jr, Hirohata K. Genu recurvatum: a complication of prolonged femoral skeletal traction. Arch Orthop Trauma Surg. 1984;103(3):215-8. doi: 10.1007/bf00435557.
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