Correction of Idiopathic Tetratorsional Malalignment of the Lower Extremities in a Young Adult Patient — A Case Report
Pulido Jose1, Leal Juan2*, Santana Adolfredo3
1Orthopedic Surgeon and Traumatologist, Specialist in Reconstructive Orthopedic Surgery, IDB Clinics Group of Barquisimeto and San Felipe, Venezuela.
2Orthopedic Surgeon and Traumatologist, Specialist in Reconstructive Orthopedic Surgery, Vivir Mejor Institute, Bionic-Medical-Center, Naguanagua, Venezuela.
3Orthopedic Surgeon and Traumatologist, Specialist in Reconstructive Orthopedic Surgery, "Leopoldo Aguerrevere" Clinical Center, Caracas, Venezuela.
*Corresponding Author: Leal Juan, Orthopedic Surgeon and Traumatologist, Specialist in Reconstructive Orthopedic Surgery, Vivir Mejor Institute, Bionic-Medical-Center, Naguanagua, Venezuela.
https://doi.org/10.58624/SVOAOR.2025.05.011
Received: March 02, 2025
Published: May 28, 2025
Citation: Pulido J, Leal J, Santana A. Correction of Idiopathic Tetratorsional Malalignment of the Lower Extremities in a Young Adult Patient — A Case Report. SVOA Orthopaedics 2025, 5:3, 63-67. doi: 10.58624/SVOAOR.2025.05.011
Abstract
Background: The static and dynamic relationships of the underlying tibia and femur determine the pattern of patellofemoral tracking. Extensor mechanism realignment alone has a high failure rate when the underlying cause of patellofemoral pain is tibial or femoral rotation. It is suggested that correction of miserable lower extremity malalignment may lead to improvements in function, pain, and self-image. The surgical correction of torsional deformity remains a controversial issue and most of the published data are found in the pediatric literature, with little application to the adult population.
Case Presentation: This is a young adult patient with tetratorsional malalignment of the lower extremities who underwent percutaneous corrective osteotomy of the bilateral femur and tibia.
Conclusion: Evolution with this technique can be expected to have a successful outcome similar to those reported in the literature.
Keywords: Miserable Malalignment, Tetratorsional Malalignment, Patellofemoral Malalignment.