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1.
Zhongguo Gu Shang ; 33(12): 1166-70, 2020 Dec 25.
Artigo em Chinês | MEDLINE | ID: mdl-33369326

RESUMO

OBJECTIVE: To evaluate the clinical outcome of tibiotalocalcaneal fusion using cannulated screw and humeral proximal locking plate inverted fixation through a lateral transfibular approach. METHODS: From June 2015 to December 2018, 15 patients underwent a tibiotalocalcaneal fusion operation using cannulated screw and inverted proximal humerus locking plate through a transfibular approach. There were 10 males and 5 females with the age ranging from 45 to 72 (58.9±6.1) years, and the course of disease ranged from 2 to 35 (11.9±7.9)years. Preoperative diagnosis included 8 cases of post traumatic arthritis, 2 cases of Charcot arthritis, 2 cases of Charcot-Marie -Tooth (CMT), 1 case of ankle tuberculosis, 1 case of talar necrosis, and 1 case of pigmented villonnodular synovitis. Among them, 8 patients were combined with simple varus deformity, 4 patients with simple valgus deformity, 2 patients with equinovarus deformity, 1 patient with equinovarus deformity, 2 patients with adduction and internal rotation of middle and forefoot. American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot score and the visual analogue scale (VAS) score were used to evaluate the clinical outcome at the last follow up. RESULTS: One lost follow up and remaining fourteen patients were followed up. The follow up time ranged from 10 to 25(16.6±4.3) months. All the 15 patients had primary healing. Fusion time ranged from 15 to 24 (16.8 ± 2.4) weeks after operation. One patient with diabetes experienced delayed union and was successfully treated with secondary bone grafting combined with Platelet-Rich Plasma (PRP) injection. The AOFAS score increased from 38.7±3.3 to 84.5±2.6 (P<0.05), and the VAS score decreased from 7.5±1.6 to 1.9±0.3(P<0.05). CONCLUSION: Tibiotalocalcaneal fusion used cannulated screw and humeral proximal locking plate inverted fixation through a lateral transfibular approach has the advantages of relatively simple technique, high fusion rate, especially for patients with posterior foot deformity, which has satisfactory short term effects.


Assuntos
Placas Ósseas , Parafusos Ósseos , Articulação do Tornozelo , Artrodese , Feminino , Humanos , Úmero , Masculino , Estudos Retrospectivos , Resultado do Tratamento
2.
Ther Umsch ; 77(10): 511-516, 2020.
Artigo em Alemão | MEDLINE | ID: mdl-33272047

RESUMO

Update on total ankle arthroplasty Abstract. Ankle arthritis is a major cause of impaired quality of life and affects approximately 1 % of the world population. Treatment options in end stage arthritis include ankle arthrodesis and total ankle replacement. As ankle arthroplasty preserves motion at the ankle joint it has become a popular alternative to fusion. Due to modern implantation techniques and improved prothesis designs ankle arthroplasty has emerged as a safe and effective treatment of ankle arthritis.


Assuntos
Artrite , Artroplastia de Substituição do Tornozelo , Tornozelo , Articulação do Tornozelo/cirurgia , Artrodese , Humanos , Qualidade de Vida , Resultado do Tratamento
3.
Plast Reconstr Surg ; 146(5): 588e-598e, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33141535

RESUMO

BACKGROUND: The authors conducted a cost-effectiveness analysis to answer the question: Which motion-preserving surgical strategy, (1) four-corner fusion, (2) proximal row carpectomy, or (3) total wrist arthroplasty, used for the treatment of wrist osteoarthritis, is the most cost-effective? METHODS: A simulation model was created to model a hypothetical cohort of wrist osteoarthritis patients (mean age, 45 years) presenting with painful wrist and having failed conservative management. Three initial surgical treatment strategies-(1) four-corner fusion, (2) proximal row carpectomy, or (3) total wrist arthroplasty-were compared from a hospital perspective. Outcomes included clinical outcomes and cost-effectiveness outcomes (quality-adjusted life-years and cost) over a lifetime. RESULTS: The highest complication rates were seen in the four-corner fusion cohort: 27.1 percent compared to 20.9 percent for total wrist arthroplasty and 17.4 percent for proximal row carpectomy. Secondary surgery was common for all procedures: 87 percent for four-corner fusion, 57 percent for proximal row carpectomy, and 46 percent for total wrist arthroplasty. Proximal row carpectomy generated the highest quality-adjusted life-years (30.5) over the lifetime time horizon, compared to 30.3 quality-adjusted life-years for total wrist arthroplasty and 30.2 quality-adjusted life-years for four-corner fusion. Proximal row carpectomy was the least costly; the mean expected lifetime cost for patients starting with proximal row carpectomy was $6003, compared to $11,033 for total wrist arthroplasty and $13,632 for four-corner fusion. CONCLUSIONS: The authors' analysis suggests that proximal row carpectomy was the most cost-effective strategy, regardless of patient and parameter level uncertainties. These are important findings for policy makers and clinicians working within a universal health care system.


Assuntos
Artrodese/economia , Artroplastia de Substituição/economia , Tratamentos com Preservação do Órgão/economia , Osteoartrite/cirurgia , Osteotomia/economia , Articulação do Punho/cirurgia , Adulto , Artrodese/métodos , Artroplastia de Substituição/métodos , Ossos do Carpo/cirurgia , Simulação por Computador , Análise Custo-Benefício , Feminino , Força da Mão/fisiologia , Custos Hospitalares , Humanos , Masculino , Cadeias de Markov , Pessoa de Meia-Idade , Modelos Econômicos , Tratamentos com Preservação do Órgão/métodos , Osteoartrite/economia , Osteotomia/métodos , Amplitude de Movimento Articular/fisiologia , Resultado do Tratamento , Articulação do Punho/fisiologia
4.
Acta Ortop Mex ; 34(2): 112-118, 2020.
Artigo em Espanhol | MEDLINE | ID: mdl-33244912

RESUMO

The objective of this work is to assess the efficacy of conservative treatment with orthopedic insoles in Müller-Weiss disease (EMW). The plantar support aims to pronounce the hindfoot and immobilize the talo-navicular, and naviculo-cuneiform joints or both at the same time, as an alternative to the valguizing osteotomy of the calcaneus and arthrodesis. The clinical and radiological characteristics of 10 cases of EMW in 8 patients under study are analyzed and the results obtained are evaluated. The manufacturing process of the plantar supports is commented, as well as the materials used. The sample size is not significant, however, preliminary, conservative treatment is possible in certain cases of EMW to relieve pain, improve gait dynamics and limit disease progression in the short-term.


Assuntos
Calcâneo , Doenças do Pé , Ossos do Tarso , Artrodese , Doenças do Pé/cirurgia , Humanos , Osteotomia , Resultado do Tratamento
5.
Bone Joint J ; 102-B(11): 1567-1573, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33135449

RESUMO

AIMS: The aim of this study was to report the results of three forms of reconstruction for patients with a ditsl tibial bone tumour: an intercalary resection and reconstruction, an osteoarticular reconstruction, and arthrodesis of the ankle. METHODS: A total of 73 patients with a median age of 19 years (interquartile range (IQR) 14 to 36) were included in this retrospective, multicentre study. RESULTS: Reconstructions included intercalary resection in 17 patients, osteoarticular reconstruction in 11, and ankle arthrodesis in 45. The median follow-up was 77 months (IQR 35 to 130). Local recurrence occurred in eight patients after a median of 14 months (IQR 9 to 36), without a correlation with adequacy of margins or reconstructive technique. Major complications included fracture of the graft in ten patients, nonunion of the proximal osteotomy in seven, and infection in five. In the osteoarticular group, three of 11 patients developed radiological evidence of severe osteoarthritis, but only one was symptomatic and required conversion to ankle arthrodesis. Functional evaluation showed higher values of the Musculoskeletal Tumour Society (MSTS) and American Orthopaedic Foot and Ankle Society (AOFAS) scores in the intercalary group compared with the others. CONCLUSION: Preservation of the epiphysis in patients with a distal tibial bone tumour is a safe and effective form of limb-sparing treatment. It requires rigorous preoperative planning after accurate analysis of the imaging. When joint-sparing resection is not indicated, ankle arthrodesis, either isolated tibiotalar or combined tibiotalar and subtalar arthrodesis, should be preferred over osteoarticular reconstruction. Cite this article: Bone Joint J 2020;102-B(11):1567-1573.


Assuntos
Articulação do Tornozelo/cirurgia , Neoplasias Ósseas/cirurgia , Procedimentos Ortopédicos/métodos , Procedimentos Cirúrgicos Reconstrutivos/métodos , Tíbia/cirurgia , Adolescente , Adulto , Artrodese , Neoplasias Ósseas/terapia , Criança , Feminino , Humanos , Salvamento de Membro , Masculino , Estudos Retrospectivos , Resultado do Tratamento , Adulto Jovem
6.
Orthopade ; 49(11): 968-975, 2020 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-33136193

RESUMO

The medial column of the foot is a relevant factor of the pathogenesis of pes planovalgus. Crucial anatomic structures are the tibiocalcaneonavicular ligament complex, the naviculocuneiform joints, including the ossa cuneiformia, and the first tarsometatarsal joint. A combination of bony and soft tissue reconstructive techniques must, therefore, be taken into account when treating pes planovalgus. The present article presents stabilizing and correcting surgical procedures for the medial column of the foot, including basic anatomy and biomechanics.


Assuntos
Pé Chato/cirurgia , Osteotomia/métodos , Procedimentos Cirúrgicos Reconstrutivos/métodos , Adulto , Artrodese , Pé Chato/diagnóstico por imagem , , Humanos , Resultado do Tratamento
7.
Unfallchirurg ; 123(12): 988-998, 2020 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-33108480

RESUMO

If an accident results in a functional disorder that persists and permanently restricts physical and/or mental capacity, this is referred to as a disability. In private accident insurance it is the task of the medical expert to assess this disability by examining the medical findings and produce an assessment taking account of the literature and comparing against generally acknowledged guidance values. The priority dismemberment disability rating schedule initially provides loss values. For the "next lowest" disability levels for arthrodesis of extremity joints, the assessment recommendations are based on a functionally favorable position although this functionally favorable position is not more precisely defined.In this article the authors have defined these functionally favorable positions based on the information available in the literature. In particular, the operatively favorable settings for arthrodesis of the affected joint that are stated in the literature on trauma and orthopedic surgery were consulted. Of course, the functional perspective has been especially emphasized.A difficulty in achieving this was that the literature on arthrodesis is now almost only of historical value due to modern endoprosthetics. The knowledge gained was checked against medical experience and is expounded here.


Assuntos
Prova Pericial , Seguro de Acidentes , Acidentes , Artrodese , Avaliação da Deficiência
10.
Orthopade ; 49(11): 991-999, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33104862

RESUMO

Concomitant valgus deformities of the ankle joint are found in approximately 3% of patients with symptomatic flat foot deformities. Conservative treatment is mostly successful only in the short term or in low-demand patients. The operative treatment of flat foot deformities follows the standard algorithm for flat foot treatment. The ankle joint can be treated while retaining mobility or by arthrodesis depending on the degree and rigidity of the deformity, degenerative changes, patient factors and expectations. Achieving an orthograde hindfoot and midfoot is obligatory for successful treatment as well as in ankle reconstructive or arthrodesis procedures.


Assuntos
Articulação do Tornozelo/cirurgia , Artrodese/métodos , Artroplastia de Substituição do Tornozelo , Pé Chato/cirurgia , Articulação do Tornozelo/diagnóstico por imagem , , Humanos
11.
Arthroscopy ; 36(10): 2748-2749, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33039045

RESUMO

Traditional teaching has told us that arthroscopic ankle arthrodesis is reserved for those patients with severe osteoarthrosis but minimal deformity. However, it is not the size of the deformity that matters; rather, it is the ability to correct the deformity intraoperatively that leads to satisfactory results. Preoperative identification of those patients with significant deformity that can be corrected with an arthroscopic approach would allow for improved selection and likely lead to better patient-reported outcomes and fewer complications.


Assuntos
Articulação do Tornozelo , Tornozelo , Idoso , Articulação do Tornozelo/cirurgia , Artrodese , Artroscopia , Humanos , Resultado do Tratamento
12.
Rozhl Chir ; 99(8): 368-372, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33032443

RESUMO

Fractures of the surgical neck of the scapula combined with a fracture of the coracoid base constitute a specific and rare type of a fracture pattern. When displaced, they present a severe, completely unstable type of surgical neck fracture, requiring a precise CT diagnosis, open reduction and stable internal fixation of the fracture via the Judet approach. The aim of this study is to describe our four cases and discuss three others reported to date.


Assuntos
Fraturas Ósseas , Fraturas da Coluna Vertebral , Artrodese , Fixação Interna de Fraturas , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/cirurgia , Humanos , Escápula/diagnóstico por imagem , Escápula/lesões , Escápula/cirurgia
13.
PLoS One ; 15(10): e0241141, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33091091

RESUMO

The transfibular approach is a common procedure for tibiotalar fusion. However, this technique has several concerns: inadequate stability to resist rotational and shearing forces, a fibula is suboptimal for bone grafting, and an onlay fibular graft that might prevent impacting and cause distraction. We present a modified transfibular technique using partial fibular resection and onlay bone graft, which may address these potential problems. This study aimed to evaluate whether the ankle joint is well fused with neutral alignment and functionally improved at the final follow-up. For this study, 27 consecutive patients (mean age, 68.5 years; range, 58-83) who underwent tibiotalar fusion with a follow-up period of >1 year were retrospectively included. A modified transfibular lateral approach was performed, in which the distal anterior half fibula was resected and fixed as an onlay graft to achieve fusion between the tibia, fibula, talus, and fibular onlay graft simultaneously. Radiographic outcomes were assessed using computed tomography at 4 months after operation and serial follow-up radiographs. Functional outcomes were assessed using the American Orthopedic Foot and Ankle Society hindfoot scale and Foot and Ankle Outcome Score. The mean follow-up period was 17.3 (range, 12-32) months. Four months after operation, complete union was achieved in 13 patients, near-complete union in 8 patients, and partial union in the remaining 6 patients. At the final follow-up, all the patients achieved complete union and maintained neutral ankle alignment. The functional outcome showed a significant increase between the preoperative and postoperative periods. One minor complication occurred, in which medial side ankle pain was relieved after screw removal. This modified technique is safe and effective, and has several merits, including saving the soft tissue of the anterior ankle, saving the course of the peroneal tendons by leaving the posterior half of the fibula, resected fibula serving as a good bone stock, and reducing the likelihood of valgus deformity after fibulectomy.


Assuntos
Articulação do Tornozelo/cirurgia , Artrodese/métodos , Transplante Ósseo/métodos , Idoso , Idoso de 80 Anos ou mais , Articulação do Tornozelo/diagnóstico por imagem , Articulação do Tornozelo/patologia , Artrodese/efeitos adversos , Parafusos Ósseos/efeitos adversos , Transplante Ósseo/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Resultado do Tratamento
14.
Pan Afr Med J ; 37: 7, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32983325

RESUMO

Tuberculosis of the cervical spine differs from other vertebral localizations by its extreme rarity, the clinical images are very diversified, the radiological measurements allow a good diagnostic orientation and specifically the MRI which allows a multi-planar study of the various lesions. Only bacteriological evidence can confirm the diagnosis. The treatment is based on a 12-month antituberculosis multidrug therapy and much debate upon the surgical indication. In our case, the patient presented with bilateral cervicobrachialgia with pain on examination at the mobilization of the cervical spine. A standard X-ray, a cervical CT scan, and a cervical MRI were performed, showing a C4 vertebral body compression of a probably infectious origin. The biopsy confirmed the diagnosis of a Cervical Pott's Disease that had been treated with anterior arthrodesis and TB treatment with rehabilitation, the patients' neurological symptoms improved, and he was doing well.


Assuntos
Antituberculosos/administração & dosagem , Artrodese/métodos , Tuberculose da Coluna Vertebral/diagnóstico , Adulto , Vértebras Cervicais/microbiologia , Vértebras Cervicais/cirurgia , Quimioterapia Combinada , Humanos , Imagem por Ressonância Magnética , Masculino , Radiografia , Tomografia Computadorizada por Raios X , Tuberculose da Coluna Vertebral/terapia
15.
Acta Chir Orthop Traumatol Cech ; 87(4): 225-236, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32940217

RESUMO

Ankle arthrodesis continues to be the golden standard in the treatment of end-stage ankle arthritis. Meticulous soft tissue handling, correct positioning of the foot, and stable fixation are crucial for obtaining a favorable result. With current techniques, mostly internal fixation with screws or plates, union rates between 87 and 100% are reported. Adjacent joint arthritis remains a concern in long-term follow-up, but does not always become symptomatic. It is pre-existing in a substantial number of cases and associated with fusion in less than optimal position, particularly equinus. With arthroscopic arthrodesis techniques, wound complications and scarring can be further reduced while obtaining similar fusion rates and equivalent, if not better, functional results when compared with open techniques. Key words: ankle, hindfoot, fusion, screws, plate, anterior approach, transfibular.


Assuntos
Tornozelo , Artrite , Articulação do Tornozelo/diagnóstico por imagem , Articulação do Tornozelo/cirurgia , Artrite/cirurgia , Artrodese , Placas Ósseas , Humanos
16.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi ; 34(9): 1195-1199, 2020 Sep 15.
Artigo em Chinês | MEDLINE | ID: mdl-32929916

RESUMO

Objective: To review the research progress of interphalangeal arthrodesis in the treatment of interphalangeal joint deformity. Methods: The literature about interphalangeal arthrodesis at home and abroad was extensively consulted, and the indications, fusion methods, fixation methods, complications, and so on were summarized and analysed. Results: The indications of interphalangeal arthrodesis are hammer toe, claw toe, and mallet toe. From the different forms of fusion surface, fusion methods include end-to-end, peg-in-hole, conical reamer type, and V-shape arthrodesis. There are three kinds of fixation methods: Kirschner wire fixation, stainless-steel wire suture fixation, and intramedullary fixation, and there are many kinds of intramedullary fixation. The complications of interphalangeal arthrodesis include vascular injury, fixation related complications, and postoperative complications. Conclusion: Interphalangeal arthrodesis is a good way to correct some deformities of toes, but the incidence of various complications can not be ignored, and there is still a lack of clinical research on interphalangeal arthrodesis.


Assuntos
Síndrome do Dedo do Pé em Martelo , Articulação do Dedo do Pé , Artrodese , Fios Ortopédicos , Humanos , Dedos do Pé
17.
Clin Sports Med ; 39(4): 773-791, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32892966

RESUMO

Lisfranc injuries can be devastating to the athlete and nonathlete. In the athletic population, minor loss of midfoot stability compromises the high level of function demanded of the lower extremity. The most critical aspect of treatment is identifying the injury and severity of the ligamentous/articular damage. Not all athletes are able to return to their previous level of function. With appropriate treatment, a Lisfranc injury does not mandate the cessation of an athletic career. We focus on the diagnosis and an algorithmic approach to treatment in the athlete discussion the controversy of open reduction and internal fixation versus arthrodesis.


Assuntos
Artrodese , Traumatismos do Pé/cirurgia , Fratura-Luxação/cirurgia , Fixação Interna de Fraturas/métodos , Ligamentos Articulares/lesões , Redução Aberta/métodos , Entorses e Distensões/cirurgia , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/cirurgia , Traumatismos do Pé/diagnóstico , Traumatismos do Pé/etiologia , Fratura-Luxação/diagnóstico , Fratura-Luxação/etiologia , Humanos , Ligamentos Articulares/cirurgia , Entorses e Distensões/diagnóstico , Entorses e Distensões/etiologia
18.
Clin Sports Med ; 39(4): 801-818, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32892968

RESUMO

Turf toe injuries should be recognized and treated early to prevent long-term disability. The accurate clinical assessment and radiological evaluation of appropriate cases is important. Both conservative and surgical treatments play a major role in getting athletes back to their preinjury level. There are more recent reported case series and systemic reviews that encourage operative treatment as early as possible for grade III turf toe injury. If the patient presents late from a traumatic hallux injury with subsequent degenerative changes or has hallux rigidus from other etiologies, a first metatarsophalangeal arthrodesis should be considered to minimize pain and improve function.


Assuntos
Artrodese , Traumatismos em Atletas/cirurgia , Traumatismos do Pé/cirurgia , Hallux Rigidus/cirurgia , Hallux Valgus/cirurgia , Hallux/lesões , Articulação Metatarsofalângica/lesões , Artrite/etiologia , Artrite/fisiopatologia , Artrite/cirurgia , Traumatismos em Atletas/fisiopatologia , Traumatismos do Pé/etiologia , Traumatismos do Pé/fisiopatologia , Hallux/fisiopatologia , Hallux/cirurgia , Hallux Rigidus/etiologia , Hallux Rigidus/fisiopatologia , Hallux Valgus/etiologia , Hallux Valgus/fisiopatologia , Humanos , Instabilidade Articular/etiologia , Instabilidade Articular/fisiopatologia , Instabilidade Articular/cirurgia , Articulação Metatarsofalângica/cirurgia , Resultado do Tratamento
19.
Handchir Mikrochir Plast Chir ; 52(5): 441-446, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32992394

RESUMO

4-corner arthrodesis is a widely implanted procedure to treat degenerated joints in the wrist such as SLAC and SNAC stage II and III. Arthroscopy in combination with headless cannulated screws, permits reproducing the same intervention with the advantages of a minimally invasive surgery. This technique has already been published in the past supported by the early experience in this new exciting field. The purpose of this paper is to present new technical refinements collected over the years in order to speed up the surgery while obtaining optimum results. In this paper we also present extreme scenarios solved by combining the scope with cannulated screws.


Assuntos
Artrodese , Torniquetes , Artroscopia , Procedimentos Cirúrgicos Minimamente Invasivos , Articulação do Punho
20.
Bone Joint J ; 102-B(10): 1412-1418, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32993328

RESUMO

AIMS: Eight-plates are used to correct varus-valgus deformity (VVD) or limb-length discrepancy (LLD) in children and adolescents. It was reported that these implants might create a bony deformity within the knee joint by change of the roof angle (RA) after epiphysiodesis of the proximal tibia following a radiological assessment limited to anteroposterior (AP) radiographs. The aim of this study was to analyze the RA, complemented with lateral knee radiographs, with focus on the tibial slope (TS) and the degree of deformity correction. METHODS: A retrospective, single-centre study was conducted. The treatment group (n = 64 knees in 44 patients) was subclassified according to the implant location in two groups: 1) medial hemiepiphysiodesis; and 2) lateral hemiepiphysiodesis. A third control group consisted of 25 untreated knees. The limb axes and RA were measured on long standing AP leg radiographs. Lateral radiographs of 40 knees were available for TS analysis. The mean age of the patients was 10.6 years (4 to 15) in the treatment group and 8.4 years (4 to 14) in the control group. Implants were removed after a mean 1.2 years (0.5 to 3). RESULTS: No significant differences in RA (p = 0.174) and TS (p = 0.787) were observed. The limb axes were significantly corrected in patients with VVD (p < 0.001). The change in tibial slope (∆TS) did not correlate (r = -0.026; p = 0.885) to the plate's position on the physis when assessed by lateral radiographs. CONCLUSION: We were not able to confirm the reported change in the bony morphology of the proximal tibia on AP radiographs in our patient population. In addition, no significant change in TS was detected on the lateral radiographs. A significant correction of the VVD in the lower limb axes was evident. Position of the implant did not correlate with TS change. Therefore, eight-plate epiphysiodesis is a safe and effective procedure for correcting VVD in children without disturbing the knee joint morphology. Cite this article: Bone Joint J 2020;102-B(10):1412-1418.


Assuntos
Artrodese/efeitos adversos , Placas Ósseas/efeitos adversos , Epífises/cirurgia , Complicações Pós-Operatórias/classificação , Tíbia/cirurgia , Adolescente , Criança , Pré-Escolar , Feminino , Geno Valgo/cirurgia , Genu Varum/cirurgia , Humanos , Desigualdade de Membros Inferiores/cirurgia , Masculino , Complicações Pós-Operatórias/diagnóstico por imagem , Estudos Retrospectivos , Tíbia/diagnóstico por imagem
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