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Related Concept Videos

Bones of the Lower Limb: Tibia and Fibula01:10

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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[Rotation or derotation osteotomy of the tibia].

D Kolp1, K Ziebarth2, T Slongo2

  • 1Dept. für Kinder-Traumatologie und -Orthopädie, Universitäts Kinderklinik Bern, 3010, Bern, Schweiz. Dagmar.Kolp@insel.ch.

Operative Orthopadie Und Traumatologie
|December 14, 2016
PubMed
Summary
This summary is machine-generated.

This study details a surgical technique using locking compression plates (LCP) for correcting lower leg rotational deformities. The method ensures stable fixation, allowing immediate weight-bearing and predictable bone healing for improved patient outcomes.

Keywords:
Bone malpositionBone plateChildrenLower legTibial osteotomy

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Limb deformity correction

Background:

  • Congenital or posttraumatic lower leg malrotation can cause gait abnormalities and psychological distress.
  • Idiopathic internal or external rotational deformities may require surgical intervention in children over 10 years old.
  • Existing treatments may not adequately address complex rotational deformities.

Purpose of the Study:

  • To describe a surgical technique for correcting lower leg rotational deformities.
  • To evaluate the efficacy of osteotomy and fixation with locking compression plates (LCP).
  • To provide a stable and reliable method for correcting malrotation, considering contralateral leg alignment.

Main Methods:

  • The technique involves osteotomy at the supramalleolar level with fixation using a 3.5 mm 90° locking plate.
  • A straight four-hole 3.5 mm locking plate is used for final fixation after achieving correction.
  • Postoperative management includes a lower leg cast for 4-5 weeks, allowing immediate full weight bearing.

Main Results:

  • Bone consolidation is expected within 4-6 weeks following an uneventful postoperative course.
  • Stable fixation with locking plates prevents loss of correction during follow-up.
  • The procedure allows for immediate postoperative weight-bearing, facilitating early mobility.

Conclusions:

  • Osteotomy and fixation with locking compression plates provide a stable and effective solution for lower leg rotational deformities.
  • This technique offers predictable outcomes and allows for early mobilization.
  • It is a viable option for correcting congenital or posttraumatic malrotation in appropriately selected patients.