Two-level Osteotomy for Genu Valgum with Tibia Valga: Surgical Planning and Execution

Abstract

Introduction: Proximal tibial injury leading to tibia valga which, in turn, leading to genu valgum is well described deformity. Management options vary between growth modulation and corrective osteotomy. Osteotomy which is used for skeletally mature patients can either be done in single stage or in multiple stages or in gradual manner. Case Report: We describe here a method to obtain single-stage correction with two-level osteotomy in a 20-year-old patient. It includes medial closing wedge osteotomy at distal femur and translational osteotomy at tibial shaft. Conclusion: This method of two-level osteotomy recognizes and treats two deformities (i.e., genu valgum and tibia valga) separately and achieves correction in one stage with perfect restoration of mechanical axis of lower limb and joint line obliquity of knee.