Surgical treatment of patients with peroneal hemimelia

Autor:	D. A. Popkov, L. A. Grebenyuk
Rok vydání:	2022
Předmět:	musculoskeletal diseases General Engineering Energy Engineering and Power Technology musculoskeletal system
Zdroj:	N.N. Priorov Journal of Traumatology and Orthopedics. 9:68-73
ISSN:	2658-6738 0869-8678
Popis:	Forty two cases of surgical crus lengthening in children with congenital fibular hemimelia were analysed. It was determined that relapse of foot and segment axis deformity, abnormal development of tibia distal epiphysis were frequently noted in case of preservation of fibular-cartilagi- nous band. Transcutaneous tenotomy of fibular band provided the best conditions for crus development during the process of growth. However the tenotomy prevented the recurrence of segment axis deformity only in one third of all cases, the correct position of foot was most often instable. Distraction osteosynthesis should be combined with open reposition of fibular fibrous- cartilaginous bend that improved the conditions for ankle formation and prevented the recurrence of crus and tibial deformity during the growth process. Ultrasonography is the compulsory method for the determination of surgical intervention tactics.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::3f05f6daa46bbf6bb20a90342397d78c https://doi.org/10.17816/vto99993 Zobrazit plný text záznamu