TY - JOUR
T1 - Distal tibial/fibular derotation osteotomy for correction of tibial torsion
T2 - Review of technique and results in 63 cases
AU - Dodgin, David A.
AU - De Swart, Robert J.
AU - Stefko, Raymond M.
AU - Wenger, Dennis R.
AU - Ko, Jih Yang
PY - 1998
Y1 - 1998
N2 - 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.
AB - 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.
KW - Angulation
KW - Derotation osteotomy
KW - Fibular osteotomy
KW - Fixation
KW - Tibial osteotomy
KW - Tibial torsion
UR - http://www.scopus.com/inward/record.url?scp=0031965394&partnerID=8YFLogxK
U2 - 10.1097/01241398-199801000-00018
DO - 10.1097/01241398-199801000-00018
M3 - 文章
C2 - 9449109
AN - SCOPUS:0031965394
SN - 0271-6798
VL - 18
SP - 95
EP - 101
JO - Journal of Pediatric Orthopaedics
JF - Journal of Pediatric Orthopaedics
IS - 1
ER -