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Focal Dome Osteotomy For The Correction Of Tibial Deformity In Children
Location: http://journals.lww.com/jpo-b/pages/articleviewer.aspx?year=2005&issue=09000&article=00006&type=abst ...
Focal dome osteotomy for the correction of tibial deformity in children.
Journal of Pediatric Orthopaedics B. 14(5):340-346, September 2005.
Dilawaiz Nadeem, R.; Quick, Thomas J.; Eastwood, Deborah M.
Tibial deformity in childhood often combines torsional and angular malalignment. A focal dome osteotomy was performed, proximally or distally, in 39 tibiae in 31 patients. In 33 limbs, the primary deformity was varus (with internal torsion). The osteotomy was held with K-wires and a plaster cast. The mean age at surgery was 10.25 years and the minimum follow-up 24 months. All osteotomies united and no compartment syndrome occurred. Postoperatively, two patients (5%) had temporary neurological deficits. Thirty of 31 patients had good clinical and radiological correction of alignment. Recurrent deformity was seen in one patient with hypophosphataemic rickets.
Author/Contact: Nadeem et al
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Added: Tue May 09 2006
Last Modified: Sun Jun 06 2010