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Related Concept Videos

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Related Experiment Video

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Spontaneous Resolution of Pediatric Varus Ankle Deformity: A Case Report.

Neil Jain1, Caleb Gottlich1, Dominic Campano1

  • 1Department of Orthopedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas.

Journal of Orthopaedic Case Reports
|February 29, 2024
PubMed
Summary
This summary is machine-generated.

Navigation-guided physeal bar resection successfully treated a pediatric varus ankle deformity caused by premature physeal closure. This innovative approach led to spontaneous deformity resolution without needing guided growth, offering a new treatment option for complex physeal injuries.

Keywords:
Varus anklebar resectioncase reportguided growthspontaneous resolution

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Skeletal growth and development

Background:

  • Distal tibia fractures are a frequent cause of physeal injuries in children, potentially leading to deformities.
  • Varus deformities resulting from premature physeal closure have limited established treatment guidelines.
  • Previous literature offers minimal support for managing such complex pediatric ankle deformities.

Observation:

  • A 6-year-old female presented with a 14° varus ankle deformity.
  • The deformity stemmed from a prior Salter Harris type 3 distal tibia fracture treated surgically.
  • The patient exhibited premature physeal closure as a complication.

Findings:

  • A navigation-guided physeal bar resection was performed to address the premature closure and varus deformity.
  • The procedure utilized preoperative bar mapping and intraoperative 3D navigation for precision.
  • Post-operatively, the varus deformity spontaneously resolved without the need for guided growth interventions.

Implications:

  • Physeal bar resection, when guided by navigation, can effectively correct complex pediatric ankle deformities.
  • This technique offers a potential alternative to guided growth for specific physeal bar complications.
  • Optimizing surgical accuracy through advanced navigation is crucial for successful outcomes in physeal bar resections.