Cases reported "Bone Malalignment"

Filter by keywords:



Filtering documents. Please wait...

1/6. Fracture of the proximal tibia six months after Fulkerson osteotomy. A report of two cases.

    The Fulkerson osteotomy has proved to be a reliable treatment for subluxation of the patella due to malalignment. Aggressive rehabilitation in the early postoperative period is unwise since the proximal tibia is weakened by the oblique osteotomy. Early weight-bearing and unrestricted activity have caused fractures in a few patients. Even late in the postoperative period the osteotomy may adversely influence the biomechanical properties of the proximal tibia. We describe two athletes who sustained a fracture of the proximal tibia, during recreational activities, six months after a Fulkerson osteotomy. Both had been bearing full weight for about ten weeks without complaint. Bony healing of the osteotomy had been demonstrated on plain radiographs at ten and at 12 weeks. After a Fulkerson osteotomy, jogging and activities which impose considerable impact force should be discouraged for at least nine to 12 months.
- - - - - - - - - -
ranking = 1
keywords = tibia
(Clic here for more details about this article)

2/6. Distraction of hypertrophic nonunion of tibia with deformity using Ilizarov/Taylor Spatial Frame. Report of two cases.

    Two cases of hypertrophic nonunion of the tibia with deformity for which distraction treatment using an Ilizarov/Taylor Spatial Frame (Smith & Nephew, Memphis, TN) are presented. This frame utilizes a computer program to help plan correction of the deformity.
- - - - - - - - - -
ranking = 0.71428571428571
keywords = tibia
(Clic here for more details about this article)

3/6. Malrotation after locked intramedullary tibial nailing: three case reports and review of the literature.

    BACKGROUND: Malrotation after interlocked tibial nailing is rarely documented. methods: We report the cases of three patients who incurred symptomatic rotational deformities after closed intramedullary nailing for low-energy spiral fractures of the distal third of the tibia. RESULTS: Two patients elected surgical correction, with excellent clinical results. CONCLUSION: Malrotation may cause functional deficits, but the long-term consequences of rotational deformities in the tibia have not been thoroughly studied. Malrotation after tibial nailing is probably more common than reported. Intraoperative comparison with the uninjured leg may be the best means available for avoiding this postoperative complication.
- - - - - - - - - -
ranking = 1.1428571428571
keywords = tibia
(Clic here for more details about this article)

4/6. Reconstruction of the medial patellofemoral ligament for painful patellar subluxation in distal torsional malalignment: a case report.

    Complex two-level rotational malalignment of the lower extremity can cause maltracking of the patella with anterior knee pain. Double derotation osteotomy would correct the underlying pathology. However, it carries a high risk of complications such as nerve and vessel damage. We report a case of rotational malalignment in the femur and the tibia associated with trochlear dysplasia, which causes painful patellar instability. The patient was successfully treated with reconstruction of the medial patellofemoral ligament and lateral release. Although the malrotation was not addressed, the position of the patella was corrected, and no dislocation occurred during a follow-up of 10 months.
- - - - - - - - - -
ranking = 0.14285714285714
keywords = tibia
(Clic here for more details about this article)

5/6. High tibial osteotomy with use of the Taylor Spatial Frame external fixator for osteoarthritis of the knee.

    BACKGROUND: High tibial osteotomy (HTO) is used to treat medial compartment osteoarthritis of the knee in active patients with varus alignment. In this study we review the clinical and radiographic outcomes associated with the Taylor Spatial Frame (Smith & Nephew), and its use in HTOs, and we include an illustrative case report. methods: In 7 patients with medial compartment osteoarthritis of the knee and varus alignment, the Taylor Spatial Frame was applied to the tibia in the operating room and a proximal tibial osteotomy was performed. patients followed a computer-generated turning schedule until the desired correction was achieved. The frame was removed when the osteotomy site had healed. The lower extremity measure (LEM) was used to assess physical function. Clinical outcome measures relating to the Taylor Spatial Frame included latency, time to correction, time in the frame, number of residual corrections and complications. Radiographic outcomes included preoperative Resnick grades of osteoarthritis, pre- and post-correction limb alignment and tibial slope measurements. RESULTS: Average (and standard deviation) LEM grade at a mean 41 (14) months follow-up after correction was 94% (5%). Average latency was 8 days, time to correction was 15 days, time in the frame was 23 weeks and number of residual corrections was 1.3. Complications were similar to those for external fixators. Radiographic correction goals were met in all patients. CONCLUSION: The Taylor Spatial Frame is a valuable asset when using HTO to treat medial compartment osteoarthritis of the knee.
- - - - - - - - - -
ranking = 1.1428571428571
keywords = tibia
(Clic here for more details about this article)

6/6. Significance of corrective growth of opposite physes in the surgical correction of deformity following epiphyseal injury around the knee joint.

    Deformation due to growth disturbance after epiphyseal fractures around the knee may involve more than the primarily injured epiphysis, as spontaneous corrective growth of the opposite epiphyseal plate can take place in an attempt to maintain overall alignment of the leg. As a result, there will be an inclination in the knee joint line if corrective osteotomy is only performed for the primary angulation. We report two cases of this complex deformity in which corrective osteotomies of both the distal femur and the proximal tibia were performed, resulting in correct alignment of the overall leg axis and knee joint axis.
- - - - - - - - - -
ranking = 0.14285714285714
keywords = tibia
(Clic here for more details about this article)


Leave a message about 'Bone Malalignment'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.