Posterior Capsular Imbrication for Dynamic Genu Valgum
Symptomatic genu recurvatum, defined as knee hyperextension beyond 5° with symptoms of pain or instability, is uncommon and presents a challenging treatment paradigm for orthopaedic surgeons. Treatment options focus on initial nonoperative management with bracing and physical therapy focused on corr...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628725000386 |
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| Summary: | Symptomatic genu recurvatum, defined as knee hyperextension beyond 5° with symptoms of pain or instability, is uncommon and presents a challenging treatment paradigm for orthopaedic surgeons. Treatment options focus on initial nonoperative management with bracing and physical therapy focused on correcting gait abnormalities and strengthening dynamic stabilizers, addressing soft-tissue laxity via posterior capsular tensioning/imbrication, and correcting osseous abnormalities with anterior opening-wedge proximal tibial osteotomies. In cases in which there are minimal bony abnormalities contributing to recurvatum, such as posterior tibial slope, posterior capsular imbrication is indicated. There is a lack of both technical and outcome literature on posterior capsular imbrication; thus, the purpose of this technical note is to describe our technique for performing a modern arthroscopic posterior capsular imbrication for dynamic genu recurvatum. |
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| ISSN: | 2212-6287 |