Publication
Distal tibial derotational osteotomy with external fixation to treat torsional deformities: a review of 71 cases
Journal Paper/Review - Mar 18, 2016
Erschbamer Matthias, Gerhard Pascal, Klima Harry, Ellenrieder Birte, Zdenek-Lehnen Katja, Giesinger Karlmeinrad
Units
PubMed
Doi
Citation
Type
Journal
Publication Date
Issn Electronic
Brief description/objective
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.