Panel Discussion M.Jabalameli MD.

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Presentation transcript:

Panel Discussion M.Jabalameli MD

Case 1 27 years old female Bilateral knee pain since 7 years ago ( Left> Right ) Bilateral genuvarum Hypothyroidism

Case 1

Case 1

Case 1 Varus angle MF-MT angle 17° LDFA 95° MPTA 83° CA 5°

Case 1

Case 1 What would you do for this patient ? Osteotomy site ? Arthroscopy ? Cartilage defect ? How much correction angle do you choose ? Types of osteotomy ? Fixation device ?

Case 1

Case 2 37 years old female She has been experiencing pain on medial side of her both knees after 10 minutes of walking since 4 years ago Stable knee No thrust in walking Full ROM

Case 2

Case 2 No respond to conservative treatment More pain in right knee MRI (normal)

Case 2 Right knee MF-MT 9° Varus LDFA 91° MPTA 82° CA 0° Left knee

Case 2 What would you do ? Arthroscopy ? Osteotomy ? How much correction angle do you choose ? Fixation device ?

Case 2

Case 3 16 years old female Bilateral genuvalgum No pain Left > Right

Case 3 Right knee Left knee MF - MT 10° Valgus MF - MT 28° Valgus LDFA 87° MPTA 92° Left knee MF - MT 28° Valgus LDFA 73° MPTA 98°

Case 3

Case 3 What would you do ? When do you do osteotomy for valgus knee in a young patient ? How much correction do you choose ? Arthroscopy ? Fixation device ?

Case 3