In situ transverse osteotomy and locked mini plate for the correction of metacarpal rotational deformity

Correction of rotational malunion of a phalanx by metacarpal osteotomy.

Correction of rotational deformity of the tibia in cerebral palsy by percutaneous supramalleolar osteotomy.

A percutaneous supramalleolar osteotomy with multiple drill holes and closed osteoclasis was used to correct rotational deformities of the tibia in patients with cerebral palsy. The technique is described and the results in 247 limbs (160 patients) are reported. The mean age at the time of surgery was 10.7 years (4 to 20). The radiographs were analysed for time to union, loss of correction, and...

Femoral supracondylar focal dome osteotomy with plate fixation for acute correction of frontal plane knee deformity

Focal dome osteotomy (FDO) allows deformity correction without secondary translational deformity. The purpose of this study was to evaluate the degree of correction and knee functional outcome after correction of frontal knee deformity using femoral supracondylar FDO fixed with plate and screws. A prospective study included 12 consecutive cases of femoral frontal plane deformity that underwent ...

Tri-plane Osteotomy Correction of Distal Radius Malunion Addresses Shortening, Angular, and Rotational Deformity

INTRODUCTION: Rotational malalignment following fracture of the distal radius may be under appreciated and contribute to subluxation and dysfunction of the distal radioulnar joint. Rotational malunion is demonstrated by both plain radiographic and CT imaging. METHODS: Eleven patients with shortened, angular and rotational malunion underwent correction by performance of triplane osteotomy. Addit...

Osteotomy of the tibia for correction of complex deformity.

Twenty complex tibial deformities due to anterior poliomyelitis in 18 patients were corrected by a modified O'Donoghue osteotomy. This technique allowed correction of the deformity in three planes. This was achieved by widening the rectangular window distally to correct both rotation and valgus and by trimming the anterior edges of the step cuts to correct flexion deformity. An above-knee cast ...