• Der Unfallchirurg · Jan 2019

    Review

    [Osteotomies for deformity correction on the pediatric knee].

    • Christof Radler.
    • Abteilung für Kinderorthopädie und Fußchirurgie, Orthopädisches Spital Speising GmbH, Speisinger Str. 109, 1130, Wien, Österreich. christof.radler@oss.at.
    • Unfallchirurg. 2019 Jan 1; 122 (1): 33-43.

    BackgroundFractures in childhood can result in malalignment and/or leg shortening due to insufficient reduction, malunion or injury to the growth plate.ObjectiveDifferent types of posttraumatic deformities around the knee as well as the diagnostic approach and correction are discussed.Material And MethodsWhile deformities without shortening can often be corrected during surgery with internal fixation, limb shortening with or without malalignment has to be treated with external fixation or internal lengthening nails.ResultsModern six-axis external fixators enable simultaneous lengthening and axial correction in all planes in patients from childhood onwards. A correction using lengthening nails is possible at the end of growth or if the physis has already been closed by trauma.ConclusionPrecise analysis of the deformity and leg length discrepancy is necessary to select the best point in time and the right surgical procedure and hardware for correction.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…