Focal Dome Osteotomy For The Correction Of Tibial Deformity In Children (Visit this link)
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. Abstract: 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.
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Added: Tue May 09 2006
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