Modified Aglietti procedure (supracondylar femoral osteotomy) for correction of the post-rachitic valgus deformity of the knee in adolescents – A short case series

摘要

IntroductionSupracondylar femoral osteotomy is the time tested method, used for correcting the angular (varus & valgus) deformities at the knee. Traditionally, Coventry type of femoral osteotomy is performed. Here, a medial or lateral based wedge of bone is removed or an open wedge osteotomy is made & subsequently the space is filled with the bone graft to achieve the desired correction. This osteotomy is subsequently stabilized with Kirschner wires or plate & screws. Later the limb is externally supported in brace or plaster cast till osteotomy unites.Here we present a case series of 10 cases, where we have analyzed the efficacy of Aglietti procedure for achieving normal limb alignment with good patient satisfaction and subsequent knee function as a method of femoral supracondylar osteotomy for correcting the valgus deformity at the knee. Short series results are also encouraging with regard to the operating time, per-operative blood loss, postoperative stability of osteotomy, early starting of postoperative rehabilitation due to good stability at osteotomy & subsequent functional outcome in relation to final range of motion (ROM) – flexion after 6 months of surgery.