1. Panel Discussion
M.Jabalameli MD

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

3. Case 1

4. Case 1

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

6. Case 1

7. 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 ?

8. Case 1

10. 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

11. Case 2

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

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

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

15. Case 2

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

18. Case 3 Right knee Left knee MF - MT 10° Valgus MF - MT 28° Valgus
LDFA °
MPTA °
Left knee
MF - MT ° Valgus
LDFA °
MPTA °

19. Case 3

20. 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 ?

21. Case 3