PMID: 9661864Jul 14, 1998Paper

Correction of proximal tibial deformities in adolescents with the T-Garches external fixator

Journal of Pediatric Orthopedics
D F StanitskiC L Stanitski

Abstract

Frontal-plane deformity of the proximal tibia in children has a variety of etiologies. There are also a number of described surgical techniques for correction of these deformities. The authors reviewed their early experience with the use of the Orthofix T-Garches external fixator for correction of 16 proximal tibial deformities in 14 patients. Mean age at surgery was 14.2 years. The most common diagnosis was adolescent Blount's disease. Average deformity was 12 degrees. Total treatment time averaged 13 weeks for those requiring lengthening and 10.8 weeks for those without. Complications included one ring sequestrum treated by curettage, and two patients with subsequent development of femoral deformity. Tibial anatomic axis averaged 1 degree of varus. This device can achieve excellent correction of deformity isolated to the frontal plane with few complications. It allows functional weight bearing and use of adjacent joints during treatment.

References

Mar 1, 1991·Journal of Pediatric Orthopedics·R T LoderM B Bardenstein
Nov 1, 1988·Journal of Pediatric Orthopedics·G T Rab
Jan 1, 1980·International Orthopaedics·M Zayer

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Citations

Apr 3, 2012·Journal of Children's Orthopaedics·Adam C SchaafDennis S Weiner
Apr 1, 2003·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kazumi ShimodeAkio Minami
Apr 17, 2009·Journal of Children's Orthopaedics·Nirav K PandyaHarish S Hosalkar
Sep 16, 2008·Clinical Orthopaedics and Related Research·James J McCarthyRichard S Davidson

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