Acute correction using focal dome osteotomy for deformity about knee joint

Archives of Orthopaedic and Trauma Surgery
Koji WatanabeKatsuro Tomita

Abstract

Correction of deformities about knee joint may prevent or delay the onset of osteoarthritis or mitigate its effects. Accurate correction of such deformities without production of secondary deformities depends on precise localization and quantification of the deformities. We corrected deformities around the knee using acute correction with focal dome osteotomy in 21 segments (15 patients). Five segments underwent limb lengthening postoperatively. The mean correction angle was 16.0 degrees . We were able to correct all segments. In the five lengthening cases, the mean external fixation index (EFI) was 70.9 days/cm, which is much higher than the generally reported EFI. There were eight complications, all but one of which occurred in lengthening cases. We believe that acute correction with focal dome osteotomy is very useful for cases of alignment correction, but is not indicated for cases of alignment correction with lengthening, due to a high risk of complications related to poor callus formation.

References

Nov 1, 1979·The Journal of Bone and Joint Surgery. British Volume·D N Smith, M H Harrison
Mar 1, 1991·Journal of Pediatric Orthopedics·R T LoderM B Bardenstein
Mar 1, 1994·The Journal of Bone and Joint Surgery. American Volume·M M Scheffer, H A Peterson
Apr 8, 1998·Journal of Pediatric Orthopedics·K J NoonanR W Bright
Jun 22, 2002·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Keisuke SakurakichiKatsuro Tomita
Sep 10, 2002·Clinical Orthopaedics and Related Research·Hiroyuki TsuchiyaKatsuro Tomita
Apr 8, 2003·The Journal of Bone and Joint Surgery. British Volume·Leo T DonnanAlan S Rigby
Aug 3, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Keisuke SakurakichiKatsuro Tomita

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Citations

Mar 1, 2012·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Emmanouil LiodakisChristian Krettek
Apr 11, 2015·Strategies in Trauma and Limb Reconstruction·Sherif Ahmed El Ghazaly, El-Hussein Mohamed El-Moatasem
Jun 23, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Barakat Sayed El-Alfy
Mar 21, 2018·Der Unfallchirurg·Thomas RosteiusJan Geßmann

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