| Autor: | J Y Ko, D R Wenger, D A Dodgin, R J De Swart, R M Stefko |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
musculoskeletal diseases
Clubfoot medicine.medical_specialty business.industry medicine.medical_treatment Torsion Abnormality Compartment Syndromes General Medicine musculoskeletal system medicine.disease Osteotomy Cerebral palsy Surgery Fixation (surgical) Pediatrics Perinatology and Child Health Medicine Orthopedics and Sports Medicine Tibia Fibula business |
| Zdroj: | Journal of Pediatric Orthopedics. 18:95-101 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/00004694-199801000-00018 |
| Popis: | Despite a tendency for rotational abnormalities of the lower leg in children to improve spontaneously over time, some fail to correct and require corrective derotation osteotomy. In this retrospective study, we report the technique and results of the distal transverse tibial and fibular derotation osteotomy with Kirschner-wire fixation performed in 63 limbs of children with cerebral palsy, clubfoot, idiopathic tibial torsion, and myelomeningocele, as well as other less common conditions. There were no significant infections, neurologic complications, delayed or nonunions, or compartment syndromes as a result of the osteotomy. There were three (4.8%) complications, including late fracture (one), cross-union (one), and distal physeal closure (one). We conclude that transverse, same-level, distal tibial and fibular osteotomy fixated with crossed Kirschner wires is a safe, efficient, and effective surgical approach to the treatment of children with tibial torsion in a variety of clinical conditions. |
| Databáze: | OpenAIRE |
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