Decortication and osteotomy for the correction of multiplanar deformity in the treatment of malunion in adult diaphyseal femoral deformity: a case series and technique description.
Eur J Orthop Surg Traumatol
; 28(1): 117-120, 2018 Jan.
Article
in En
| MEDLINE
| ID: mdl-28660434
ABSTRACT
AIM:
To review patients that have undergone correction of a symptomatic femoral malunion using osteotomy combined with decortication.METHODS:
A retrospective review of all patients who have undergone decortication and multiplanar osteotomy, looking at the pre-operative deformity, correction achieved, time to union and complications.RESULTS:
Seven patients underwent correction under the senior author from 2003 to 2012. Average age was 46 years (range 32-60 years). All had femoral shortening deformity (average 2.7 cm, range 2-4 cm). Each also had at least one other plane of deformity with rotation being the next most commonly encountered in 5 out of the 7 (average 33°, range 0°-45°). Two had tri-planar deformity with the five having bi-planar deformity. Average time to union was 16.3 months (range 7-39 months) with an average of 1.5 operations (range 1-3 operations) to union. One patient has a non-union after five corrective operations.CONCLUSION:
Correction of multiplanar deformity of the femur is challenging. Osteotomy with decortication provides a technique to achieve significant femoral multiplanar deformity correction in a single operation. This publication provides technical description of the operative technique, guidance and results.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Osteotomy
/
Bone Lengthening
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Fractures, Malunited
/
Femoral Fractures
/
Leg Length Inequality
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Humans
/
Middle aged
Language:
En
Journal:
Eur J Orthop Surg Traumatol
Year:
2018
Document type:
Article
Affiliation country: