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Distal tibial derotational osteotomy with external fixation to treat torsional deformities: a review of 71 cases

Matthias Erschbamer, Pascal Gerhard, Harry Klima, Birte Ellenrieder, Katja Zdenek-Lehnen & Karlmeinrad Giesinger

abstract UNASSIGNED
We retrospectively reviewed the safety and efficacy of operative treatment of torsional malalignment of the tibia in 44 children, on whom we performed 71 derotational osteotomies of the distal tibia to treat tibial torsion. We placed four pins using an alignment jig, performed a percutaneous osteotomy, and applied an external fixator after derotation. Postoperative radiographs showed accurate tibial derotation and pin placement in all patients. Nine patients developed superficial pin-tract infections that resolved with antibiotic treatment. Two developed fractures after removal of the external fixator, which healed in a plaster cast. Operative treatment of these cases with an external fixator is safe, effective, and well tolerated.
   
citation Erschbamer M, Gerhard P, Klima H, Ellenrieder B, Zdenek-Lehnen K, Giesinger K. Distal tibial derotational osteotomy with external fixation to treat torsional deformities: a review of 71 cases. J Pediatr Orthop B 2016;.
   
type journal paper/review (English)
date of publishing 18-3-2016
journal title J Pediatr Orthop B
ISSN electronic 1473-5865
PubMed 26999062
DOI 10.1097/BPB.0000000000000308