Samelis Panagiotis V, Kolovos Panagiotis, Georgiou Flourentzos, Loukas Christos, Catsouli Cathrin
Orthopaedics, Orthopaedic Research and Education Center, Attikon University Hospital, Athens, GRC.
1st Orthopaedic Department, Children's General Hospital Panagiotis & Aglaia Kyriakou, Athens, GRC.
Cureus. 2020 Sep 22;12(9):e10587. doi: 10.7759/cureus.10587.
A case of unilateral genu recurvatum (GR) in a 15-year-old boy with a history of Guillain-Barre syndrome (GBS) and subsequent bilateral drop-foot is presented. Muscle imbalance of the lower limb and repetitive pressure from prolonged usage of an orthosis to deal with drop-foot may be the causative factors for early partial physeal arrest of his right proximal tibia. The result was a right GR and a shorter right lower limb. A below the tibial tuberosity anterior opening-wedge oblique proximal tibial osteotomy was performed. The deformity was gradually corrected using an Ilizarof circular frame. The center of rotation and angulation of the procedure was placed at the posterior tibial cortex. The procedure was completed uneventfully within four months. Excellent clinical and radiological improvement of the deformity was obtained.
本文报告了一例15岁男孩，有格林-巴利综合征（GBS）病史并继发双侧足下垂，出现单侧膝反屈（GR）的病例。下肢肌肉失衡以及长期使用矫正器治疗足下垂所产生的反复压力，可能是其右胫骨近端早期部分骨骺阻滞的致病因素。结果导致右膝反屈和右下肢缩短。进行了胫骨结节下方前开口楔形近端胫骨截骨术。使用伊里扎洛夫环形外固定架逐渐矫正畸形。手术的旋转和角度中心位于胫骨后皮质。手术在四个月内顺利完成。畸形在临床和影像学上均得到了显著改善。
