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Verfasst von:Kolbe, Nikolas [VerfasserIn]   i
 Haydon, Frank [VerfasserIn]   i
 Kolbe, Johannes [VerfasserIn]   i
 Dreher, Thomas [VerfasserIn]   i
Titel:Single-stage tibial osteotomy for correction of genu varum deformity in children
Verf.angabe:Nikolas Kolbe, Frank Haydon, Johannes Kolbe and Thomas Dreher
E-Jahr:2023
Jahr:14 February 2023
Umfang:18 S.
Fussnoten:Gesehen am 21.04.2023
Titel Quelle:Enthalten in: Children
Ort Quelle:Basel : MDPI, 2013
Jahr Quelle:2023
Band/Heft Quelle:10(2023), 2, Artikel-ID 377, Seite 1-18
ISSN Quelle:2227-9067
Abstract:Conservative and operative treatments with gradual or acute correction of severe varus deformities of the leg have been described. We evaluated whether the corrective osteotomy used within the NGO Mercy Ships is an effective treatment for genu varum deformity of different etiologies in children and which patient specific factors have an influence on the radiographic outcome. In total, 208 tibial valgisation osteotomies were performed in 124 patients between 2013 and 2017. The patients’ mean age at the time of surgery was 8.4 (2.9 to 16.9 (min/max)) years. Seven radiographically measured angles were used to assess the deformity. Clinical photographs taken pre- and postoperatively were assessed. The mean time between the surgery and the end of physiotherapeutic treatment was 13.5 (7.3 to 28) weeks. Complications were monitored and classified according to the modified Clavien-Dindo-classification system. The mean preoperative mechanical tibiofemoral angle was 42.1° varus (range: 85°-12° varus). The mean postoperative mechanical tibiofemoral angle was 4.3° varus (range: 30° varus-13° valgus). The factors predicting a residual varus deformity were higher age, greater preoperative varus deformity and the diagnosis of Blount disease. The tibiofemoral angle measured on routine clinical photographs correlated well with the radiographic measurements. The single-stage tibial osteotomy described is a simple, safe and cost-effective technique to correct three-dimensional deformities of the tibia. Our study shows very good mean postoperative results, but with a higher variability than in other studies published. Nevertheless, considering the severity of preoperative deformities and the limited opportunities for aftercare, this method is excellent for the correction of varus deformities.
DOI:doi:10.3390/children10020377
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.3390/children10020377
 kostenfrei: Volltext: https://www.mdpi.com/2227-9067/10/2/377
 DOI: https://doi.org/10.3390/children10020377
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Blount disease
 bow leg
 genu varum
 growth disorder
 pediatric orthopedics
 rickets
 tibial osteotomy
K10plus-PPN:1843316277
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