PMC9933149_01
Severe bilateral genu valgum deformity.
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FIG1
Radiological investigations showed dysplastic proximal lateral tibial epiphysis (Figure 1) along with a proximal tibial exostosis (Figure 2).
X-ray of bilateral knee with leg: A) dysplastic lateral tibial plateau of right knee (blue arrow). B) Dysplastic lateral tibial plateau of left knee (blue arrow) with exostosis in the proximal tibial region (yellow arrow).
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FIG2
Radiological investigations showed dysplastic proximal lateral tibial epiphysis (Figure 1) along with a proximal tibial exostosis (Figure 2).
X-ray of bilateral hands: A) Polydactyly in the right hand (blue arrow). B) Polydactyly in the left hand (blue arrow).
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FIG3
Radiographs of the wrist and hand showed post-axial polydactyly (Figure 3).
Radiological assessment measuring the tibio-femoral angle (red), lateral distal femoral angle (blue), medial proximal tibial angle (green) in right (A) and left (B) lower limbs.
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FIG4
As a part of the radiological assessment, the radiological angles were calculated (joint orientation angles and tibio-femoral angles) on both sides (Figure 4) (Table 1).
Persistent bilateral genu valgum deformity.
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FIG5
The correction following this surgery was not significant and the patellae were still dislocated and the patient still had difficulty walking (Figures 5, 6).
Laterally dislocated patella (white arrow).
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FIG6
The correction following this surgery was not significant and the patellae were still dislocated and the patient still had difficulty walking (Figures 5, 6).
The procedure was planned in stages with the right side operated on first.
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FIG7
The right lower limb was operated on first followed by the left limb 15 days later (Figure 7).
Patient able to squat at five-year follow-up.
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FIG8
She was able to perform her daily activities without any problems (Figures 8-11).
Significant deformity correction with no relapse at five-year follow-up.
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FIG9
She was able to perform her daily activities without any problems (Figures 8-11).
No extension lag post deformity correction.
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FIG10
She was able to perform her daily activities without any problems (Figures 8-11).
Radiographs at five-year follow-up showing good correction with no relapses.
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FIG11
She was able to perform her daily activities without any problems (Figures 8-11).
Radiological assessment at five-year follow-up measuring the tibio-femoral angle (red), lateral distal femoral angle (blue), medial proximal tibial angle (green) in right (A) and left (B) lower limb.
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FIG12
On follow-up at five years the radiological angles were calculated and a significant correction was observed which was persistent at the follow-up (Figure 12) (Table 2).