PROXIMAL TIBIAL OSTEOTOMY WITH COMPRESSION PLATE FIXATION FOR TIBIA VARA

被引:29
作者
MARTIN, SM [1 ]
MORAN, MC [1 ]
MARTIN, TL [1 ]
BURKE, SW [1 ]
机构
[1] HOSP SPECIAL SURG,535 E 70TH ST,NEW YORK,NY 10021
关键词
BLOUNTS DISEASE; COMPRESSION PLATE; INTERNAL FIXATION; OSTEOTOMY; TIBIA;
D O I
10.1097/01241398-199409000-00013
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A surgical technique for the accurate intraoperative correction of tibia vara deformities with maintainence of postoperative alignment is presented. This was a retrospective study of 13 knees of nine patients with tibia vara deformities treated by proximal tibial and fibular osteotomies using compression-plate fixation. Average age of the patients was 9 + 1 years, with a range of 3 + 1 to 14 + 11 years. The average preoperative deformity was 20-degrees of varus with a range of 15-36-degrees. Average follow-up was 3 + 3 years, with a range of 2 to 4 + 1 years. All patients had intraoperative correction to an average valgus of 5-degrees (range 4-8-degrees valgus), with an overall valgus correction of 25-degrees (range 20-40-degrees). There was one reoperation for unilateral recurrence of deformity in a child who progressed from stage III to stage VI postoperatively. Proximal tibial osteotomy with compression-plate fixation provides an accurate and reliable method for the correction of multiplanar deformities in children and adolescents.
引用
收藏
页码:619 / 622
页数:4
相关论文
共 19 条
[1]  
Beck C.L., Burke S.W., Roberts J.M., Johnston C.E., Physeal bridge resection in infantile Blount disease, J Pediatr Orthop, 7, pp. 161-163, (1987)
[2]  
Bradway J.K., Klassen R.A., Peterson H.A., Blount disease: A review of the English literature, J Pediatr Orthop, 7, pp. 472-480, (1987)
[3]  
Cook S.D., Lavernia C.J., Burke S.W., Skinner H.B., Haddad R.J., A biomechanical analysis of the etiology of tibia vara, J Pediatr Orthop, 3, pp. 449-454, (1983)
[4]  
Ferriter P., Shapiro F., Infantile tibia vara: Factors affecting outcome following proximal tibial osteotomy, J Pediatr Orthop, 7, pp. 1-7, (1987)
[5]  
Ganel A., Heim M., Farine I., Asymmetric epiphyseal distraction in treatment of Blount's disease, Orthop Rev, 15, pp. 81-84, (1986)
[6]  
Gregosiewicz A., Wosko I., Kandzierski G., Drabik Z., Dou- ble-elevating osteotomy of tibiae in the treatment of severe cases of Blount's disease, J Pediatr Orthop, 9, pp. 178-181, (1989)
[7]  
Herring J.A., Blount disease, J Pediatr Orthop, 7, pp. 601-604, (1987)
[8]  
Hofmann A., Jones R.E., Herring J.A., Blount's disease after skeletal maturity, J Bone Joint Surg [Am], 64, pp. 1004-1009, (1982)
[9]  
Kruse R.W., Bowen J.R., Heithoff S., Oblique tibial osteotomy in the correction of tibia deformity in children, J Pediatr Orthop, 9, pp. 476-482, (1989)
[10]  
Lagenskiold A., Riska E.B., Tibia vara (Osteochondrosis deformans tibiae). A survey of seventy-one cases, J Bone Joint Surg [Am], 46, pp. 1405-1420, (1964)