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[Tibial torsion deformities].

C Lampert1, B Thomann, R Brunner

  • 1Klinik für Orthopädische Chirurgie, Kantonsspital und Kinderspital, St. Gallen.

Der Orthopade
|November 25, 2000
PubMed
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Tibial torsion defects, often overlooked, can lead to knee and ankle problems. Surgical correction is the only effective treatment for pathological tibial torsion, as conservative methods fail.

Area of Science:

  • Orthopedics
  • Biomechanics
  • Pediatric Orthopedics

Background:

  • Tibial torsion defects are frequently asymptomatic and undiagnosed.
  • Limited research connects tibial torsion to knee and ankle pathologies.
  • Conditions like patellofemoral instability and arthrosis correlate with tibial torsion severity.

Purpose of the Study:

  • To highlight the clinical significance of tibial torsion.
  • To review the diagnostic methods for tibial torsion.
  • To discuss the association between tibial torsion and joint pathologies.

Main Methods:

  • Static tibial torsion measurement via clinical examination and CT scans.
  • Dynamic tibial torsion assessment in clinical and gait laboratory settings.
  • Literature review on the correlation between tibial torsion and lower limb pathologies.

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Main Results:

  • Increased external tibial torsion is linked to patellofemoral instability, Osgood-Schlatter disease, and osteochondritis dissecans.
  • Reduced tibial torsion is associated with arthrosis.
  • Conservative treatments (bandages, orthosis) are ineffective for tibial torsion.

Conclusions:

  • Tibial torsion defects require accurate diagnosis due to potential joint complications.
  • Surgical intervention, specifically supramalleolar osteotomy, is the definitive treatment for pathological tibial torsion.
  • Physiologic torsion correction is necessary when spontaneous correction does not occur.