Evans calcaneal lengthening osteotomy is a powerful surgical technique utilized in the correction of a flatfoot deformity. The known biomechanical complications associated with performing the calcaneal osteotomy alone involve increased lateral column pressures. The present study involves a patient who developed a sub fifth metatarsal ulceration with weightbearing after an Evans calcaneal osteot...

Tailor’s Bunion (TB) is a prominence of the Vth metatarsal bone at the base of the little toe. Scarf Osteotomy (SO) is a very useful technique to treat TB and in some cases it represents the first-rate surgical treatment for this deformity. The aim of this paper is to describe this little known pathology, analyze all surgical techniques of the past and review controlled trials or reviews that c...

Definition of Deformity Evaluation of Lower Limb Deformities Indications for Correction of Lower Limb Deformities Preoperative Planning Planning the Level of Osteotomy Other Factors in Determining the Level of the Osteotomy Determining the True Plane of the Deformity Translation Deformities . Angulation/Translation Deformities Multi-Apical Angular Deformities Joint Laxity Deformities of the Kne...

Tripple deformity of elbow in association with cubitus varus can be treated by dome osteotomy. In this study we assess the strength of fixation after a dome osteotomy for cubitus varus associated with triple deformity in terms of union and complications. We conclude with this study that dome osteotomy has its own advantages in correcting the deformity for cosmesis and also by not leaving the pr...

Developmental dysplasia of the hip is best treated during infancy. Residual dysplasia is a major cause of disability and should be corrected surgically at an early age. Children 3-8 years of age are usually treated with an acetabular reshaping osteotomy, such as the Pemberton procedure or the San Diego osteotomy. Children over age 8-10 years are best treated using triple innominate osteotomy. A...

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...

BACKGROUND AND PURPOSE In open-wedge, valgus osteotomy of the upper tibia, there are concerns regarding the initial stability and ability to retain the correction. Rehabilitation protocols vary depending on the osteotomy technique and the fixation method. Angle-stable implants offer superior initial stability. Early full weight bearing appears to be possible using these implants. In this prospe...

PURPOSE To report outcome of Scarf osteotomy with or without proximal phalangeal osteotomy for correction of severe hallux valgus deformity. METHODS Records of 48 women and 4 men aged 28 to 68 (mean, 52) years who underwent 57 Scarf osteotomies with or without proximal phalangeal osteotomy for severe hallux valgus by a single surgeon were reviewed. The patients had a hallux valgus angle (HVA)...

Nineteen patients with thoracic or thoracolumbar spinal tuberculosis and neurological deficits were treated by anterior debridement, decompression and vascularised rib grafting, followed, either during the same procedure or 14 days later, by multilevel posterior osteotomies, instrumentation and fusion. Surgery was performed under cover of four-drug antituberculosis chemotherapy, given for 12 mo...

The pelvic support osteotomy is a double level femoral osteotomy with the objective of eliminating a Trendelenburg and short limb gait in young patients with severe hip joint destruction as a consequence of neonatal septic arthritis. The osteotomy has seen several changes and a brief historical overview is provided to set the evolution of the modifications of the procedure in context. We presen...