Filter by keywords:



Filtering documents. Please wait...

11/18. 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
keywords = tibia
(Clic here for more details about this article)

12/18. Uptilting osteotomy of the lateral tibial plateau for a knee deformity. A case report.

    A middle-aged woman had had anterior poliomyelitis at 11 years of age that had left her with residual weakness in both legs. She gradually developed a recurvatum and valgus deformity in both knees, which caused pain and instability. A technique to restore the top of the tibia by means of a rotational osteotomy of the lateral tibial plateau is presented. This operation resulted in painless, asymptomatic knees and improved function.
- - - - - - - - - -
ranking = 0.75
keywords = tibia
(Clic here for more details about this article)

13/18. Minor knee trauma as a possible cause of asymmetrical proximal tibial physis closure. A case report.

    An unusual case is presented in which minor soft tissue injury may have caused premature asymmetrical closure of the proximal tibial physis resulting in a 30 degrees genu recurvatum that necessitated corrective osteotomy. awareness of the possibility of a hidden physeal injury in the presence of soft tissue injury and a normal radiograph may lead to its early recognition and treatment.
- - - - - - - - - -
ranking = 0.625
keywords = tibia
(Clic here for more details about this article)

14/18. The Ilizarov external fixator for treatment of deformities in Paget's disease.

    Paget's disease of bone may cause progressive bowing of affected femurs and tibiae. Fractures or osteotomies in these patients technically are difficult to treat and may lead to delayed union or nonunion. The authors report their early results with the use of the Ilizarov external fixator to affix 3 corrective closing wedge osteotomies, 1 fracture, and 1 delayed union. Deformities were corrected fully during the surgery, with an option to correct remaining deformation progressively during the rest of treatment. Compression of the healing bone was applied to enhance osseous healing, when necessary. Three-dimensional control is possible, and the stability of the fixation is excellent in this structurally weak bone. Bony union was achieved without complications in all patients within 4 months.
- - - - - - - - - -
ranking = 0.125
keywords = tibia
(Clic here for more details about this article)

15/18. 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 = 0.125
keywords = tibia
(Clic here for more details about this article)

16/18. Postosteotomy healing in Pyle's disease (familial metaphyseal dysplasia). A case report.

    Pyle's disease is rare skeletal dysplasia in which a defect in metaphyseal remodeling leads to grossly widened metaphyses of long bones. genu valgum, one of the few clinical findings in this disease, may warrant surgical intervention. Postoperative healing is documented only in Pyle's original patient. A case is presented in which bilateral osteotomies were performed through the proximal tibia for progressive genu valgum. The osteotomies healed within 12 weeks when treatment was performed with standard techniques. This information will allow osteotomies to be performed with confidence.
- - - - - - - - - -
ranking = 0.125
keywords = tibia
(Clic here for more details about this article)

17/18. Intra-articular tibial plateau stress fracture associated with osteoarthrosis and valgus knee deformity.

    Severe valgus deformity of the knee secondary to osteoarthritis can predispose to stress fracture of the lateral tibial plateau. Described herein is a case of severe valgus knee deformity that was complicated by an intra-articular tibial plateau stress fracture and treated by a fully constrained Guepar hinge prosthesis with a satisfactory end result. The etiology and mechanism of this complication are discussed, with emphasis on the diagnostic process.
- - - - - - - - - -
ranking = 0.75
keywords = tibia
(Clic here for more details about this article)

18/18. Distalization of the patella during tibial callus distraction.

    Consecutive distalization of the patella is described in two patients undergoing segmental transportation after high tibial corticotomy. Revision surgery with loosening and proximal reattachment of a portion of the patellar ligament bridging the callus distraction zone could re-establish the correct patellar position. Despite excellent callus formation after tibial corticotomy just below the tibial tuberositas, this procedure should be performed more distally as the fibers of the patellar tendon spread laterally and distally.
- - - - - - - - - -
ranking = 0.875
keywords = tibia
(Clic here for more details about this article)
<- Previous |


Leave a message about 'Joint Deformities, Acquired'


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