Background: Genu valgum deformity is defined as a mechanical axis deviation (MAD) lateral to the knee joint center. In this situation the lateral compartment of the knee is overloaded. Corrective osteotomies are recommended to realign the lower extremity. Objectives: This study was designed to evaluate the lateral distal femoral biplanar open wedge corrective osteotomy results in patients with genu valgum. Patients and Methods: This is a case-series study on seven patients. All patients had genu valgum deformity and medial thrust or pain in the lateral compartment. Lateral biplanar distal femoral open wedge osteotomy was used as corrective osteotomy. Radiological findings and union time at the osteotomy site of the operated patients was determined. Results: All patients were female. The mean age was 25.14 ± 4.74. The mean follow up time for these patients was 8.28 ± 6.96 months. The mean preoperative mechanical alignment was 8.71 ± 2.21 while the post-operative was 1.42 ± 0.53. The mean wedge size used for osteotomy was 8.71 ± 2.21 mm. The mean union time was 9.71 ± 2.56 weeks. Conclusions: Stability and early union without using bone graft at the osteotomy site, rapid rehabilitation and weight bearing of patients with genu valgum are the advantages of biplanar lateral distal femoral open wedge osteotomy.

Introduction: Quadriceps and Achilles tendon ruptures are well-known entity following tendonitis and tendon weakening in some of the chronic and systemic underlying disease. Case Presentation: We report a very rare case with simultaneous Achilles and bilateral quadriceps tendon ruptures in a patient with chronic renal failure (CRF) in a 48-year-old man. The ruptured tendons were treated surgically with good outcome. Conclusions: Multiple tendons injury should be considered to prevent delayed diagnosis in patients with CRF who presented with tendon rupture.

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BackgroundTibial plateau fractures can be successfully fixed utilizing 3.5 mm locking plates. However, there are some disadvantages to using these plates.ObjectivesIn the current prospective study, we investigated the outcome of treating different types of tibial plateau fractures with 3.5 mm simple plates which, to our knowledge, has not been evaluated in previous studies.Materials and MethodsBetween 2011 and 2013, 32 patients aged 40 ± 0.2 years underwent open reduction and internal fixation for tibial plateau fractures with 3.5 mm simple plates. The patients were followed for 16.14 ± 2.1 months. At each patient’s final visit, the articular surface depression, medial proximal tibial angle, and slope angle were measured and compared with measurements taken early after the operation. The functional outcomes were measured with the WOMAC and Lysholm knee scores.ResultsThe mean union time was 13 ± 1.2 weeks. The mean knee range of motion was 116.8° ± 3.3°. The mean WOMAC and Lysholm scores were 83.5 ± 1.8 and 76.8 ± 1.6, respectively. On the early postoperative and final X-rays, 87.5% and 84% of patients, respectively, had acceptable reduction. Medial proximal tibial and slope angles did not change significantly by the last visit. No patient was found to have complications related to the type of plate.ConclusionsIn this case series study, the fixation of different types of tibial plateau fractures with 3.5 mm simple non-locking and non-precontoured plates was associated with acceptable clinical, functional, and radiographic outcomes. Based on the advantages and costs of these plates, the authors recommend using 3.5 mm simple plates for different types of tibial plateau fractures.