Comprehensive Treatment of Complex Tibial Deformities by Single-cut Corrective Osteotomy
نویسندگان
چکیده
Complex tibial deformities imply simultaneous correction of varus deformity and internal rotation of the tibia, axis realignment, restoration of joint surface congruity and treatment and prevention of limb length discrepancy. Four patients were treated in our department using the single-cut osteotomy described by Paley. Osteosynthesis was achieved by an external fixator in two cases, K-wires in one case and plate in one case. At follow-up, all patients were satisfied, with normal lower limb alignment and no limb length discrepancy.
منابع مشابه
Single Cut Distal Femoral Varus Osteotomy (SCFO): A Preliminary Study
Background: Genu valgum usually originates from a deformity of distal femur that is often corrected by distal femoralvarus osteotomy. The osteotomy includes both components of angulationcorrection and translation because the siteof osteotomy is not commonly at the apex of deformity. Improvement of patellar tracking not only depends on valguscorrection, but also it may be partially due to centra...
متن کاملThe clinical Outcome of One-stage High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction. A Current Concept Systematic and Comprehensive Review
Background: Patients with an anterior cruciate ligament-deficient varus-angulated knee may need not only an isolated high tibial osteotomy (HTO), but also an additional anterior cruciate ligament reconstruction (ACLR). A number of prospective clinical trials have been published considering the combination of HTO and ACL reconstruction. Our aim was to investigate whether one-stage combined HTO...
متن کاملValgus deformity after proximal tibial fractures in children.
Late valgus deformity after simple fracture of the proximal tibial metaphysis in children, despite adequate initial alignment, was first described by Cozen (1953). It has been suggested in the “check rein” theory that infolding of the periosteum and the pes anserinus at the fracture site may alter the forces on the proximal tibia and lead to deformity. If this is so, then operative removal of t...
متن کاملMultiple drill-hole osteotomy in hand surgery – description of a novel application and proof of feasibility
BACKGROUND Malunion of phalangeal and metacarpal bones are often associated with impairment of hand function and pose a challenging task for treating surgeons in most cases. When applicable, corrective osteotomy is the treatment of choice, where the affected bone is cut to correct malalignment using chisels or saws. The use of these instruments is associated with several drawbacks especially in...
متن کاملAnkle Deformity Secondary to Acquired Fibular Segmental Defect in Children
BACKGROUND The authors report the long-term effect of acquired pseudoarthrosis of the fibula on ankle development in children during skeletal growth, and the results of a long-term follow-up of Langenskiold's supramalleolar synostosis to correct an ankle deformity induced by an acquired fibular segmental defect in children. METHODS Since 1980, 19 children with acquired pseudoarthrosis of the ...
متن کامل