Distal tibial/fibular derotation osteotomy for correction of tibial torsion: Review of technique and results in 63 cases

David A. Dodgin, Robert J. De Swart, Raymond M. Stefko, Dennis R. Wenger*, Jih Yang Ko

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

71 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)95-101
Number of pages7
JournalJournal of Pediatric Orthopaedics
Volume18
Issue number1
DOIs
StatePublished - 1998
Externally publishedYes

Keywords

  • Angulation
  • Derotation osteotomy
  • Fibular osteotomy
  • Fixation
  • Tibial osteotomy
  • Tibial torsion

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