Bending osteotomy through the distal tibial physis in fibular hemimelia for stable reduction of the hindfoot
作者:
G. Exner,
期刊:
Journal of Pediatric Orthopaedics
(OVID Available online 2003)
卷期:
Volume 12,
issue 1
页码: 27-32
ISSN:0271-6798
年代: 2003
出版商: OVID
关键词: Fibular hemimelia;metaphyseal osteotomy;tibial epiphysis
数据来源: OVID
摘要:
Fibular hemimelia is associated with a deformity of the distal tibial epiphysis resulting in a convexity with lateral and posterior slope of the distal joint surface. The deformity results into an equinovalgus position of the foot and ankle and frequently consecutive dislocation of the foot. A new procedure is presented, in with a metaphyseal ostotomy is performed towards the physis in order to bend the postero-lateral third of the distal tibial epiphysis forming a concave distal tibial joint surface. This procedure was done in four feet in three patients at ages between 7 and 20 months combined with soft tissue releases and rebalancing the tendons. At a follow-up between 6 and 42 months the position of the feet is well retained.
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