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Correction of angular deformities by physeal distraction.

J Canadell1, J de Pablos

  • 1Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, University of Navarra, Pamplona, Spain.

Clinical Orthopaedics and Related Research
|October 1, 1992
PubMed
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Physeal distraction effectively corrects angular deformities and shortening in long bones. This minimally invasive technique offers external control for progressive correction, even with physeal bony bridges.

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Skeletal deformities

Background:

  • Angular deformities of long bones often require surgical correction.
  • Conventional treatments may have limitations, especially in complex cases.
  • Physeal distraction presents a less invasive alternative.

Purpose of the Study:

  • To evaluate the efficacy of physeal distraction for correcting angular deformities and associated shortening of long bones.
  • To assess the outcomes and complications associated with this technique.

Main Methods:

  • Physeal distraction was applied to twenty long bone deformities (femur and tibia).
  • Nine cases involved associated shortening.
  • Correction was monitored externally until bone consolidation.

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Main Results:

  • Complete angular deformity correction was achieved in 17 patients.
  • Over 80% correction was achieved in seven patients.
  • Four patients experienced complications that impacted full correction.

Conclusions:

  • Physeal distraction is a viable and effective method for correcting angular deformities and shortening in long bones.
  • The technique allows for external control and progressive correction, even in the presence of physeal bony bridges.
  • It is particularly indicated for patients nearing skeletal maturity with associated shortening.