Cargando…

Double tibial osteotomy for bow leg patients: A case series

BACKGROUND: High tibia osteotomy (HTO) is a common surgical operation for correction of genu varum deformity. In some patients, there are concurrent tibia vara and genu varum (bow leg). This study aimed to consider the possibility of better correction of bow leg deformity after double level tibial o...

Descripción completa

Detalles Bibliográficos
Autores principales: Nazem, Khalilollah, Fouladi, Arash, Chinigarzadeh, Mozhdeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3908532/
https://www.ncbi.nlm.nih.gov/pubmed/24523802
_version_ 1782301720542445568
author Nazem, Khalilollah
Fouladi, Arash
Chinigarzadeh, Mozhdeh
author_facet Nazem, Khalilollah
Fouladi, Arash
Chinigarzadeh, Mozhdeh
author_sort Nazem, Khalilollah
collection PubMed
description BACKGROUND: High tibia osteotomy (HTO) is a common surgical operation for correction of genu varum deformity. In some patients, there are concurrent tibia vara and genu varum (bow leg). This study aimed to consider the possibility of better correction of bow leg deformity after double level tibial osteotomy (DLTO). MATERIALS AND METHODS: A case series of 10 patients of genu varum in addition to tibia vara (bow leg) deformity who were referred to orthopedic ward of an academic hospital of Isfahan- Iran during 2009–2011 were included in the study. The mean age was 17.3 ± 3.1 years and all of them underwent DLTO. The results of treatment have been assessed based on clinical and radiological parameters before and after surgery. RESULTS: The mean pre- and post operative values for Tibia-Femoral Angle, Medial Proximal of Tibia Angle (MPTA), and Lateral Distal of Tibia Angle (LDTA) were 18.13 ± 3.05° vs. 3.93 ± 0.66°, 79.13 ± 3.4° vs. 89.7 ± 1.8° and 96.40 ± 1.8° vs. 88.73 ± 3.0° respectively (P < 0.05). Improvement of all radiological parameters was meaningful. Seventy three percent of patients had normal mechanical axis of limb after surgery. The remaining cases had varus deformity in distal femur that was corrected by valgus supracondylar osteotomy in an additional operation. Limited range of motion (ROM) near knee and ankle was not observed. CONCLUSION: DLTO correct bow leg deformity in the point of alignment of limb and paralleling of knee and ankle joint more effectively. This method can be used in metabolic and congenital bow leg which deformities are present in throughout of the lower limb. We described this technique for the first time.
format Online
Article
Text
id pubmed-3908532
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-39085322014-02-12 Double tibial osteotomy for bow leg patients: A case series Nazem, Khalilollah Fouladi, Arash Chinigarzadeh, Mozhdeh J Res Med Sci Short Communication BACKGROUND: High tibia osteotomy (HTO) is a common surgical operation for correction of genu varum deformity. In some patients, there are concurrent tibia vara and genu varum (bow leg). This study aimed to consider the possibility of better correction of bow leg deformity after double level tibial osteotomy (DLTO). MATERIALS AND METHODS: A case series of 10 patients of genu varum in addition to tibia vara (bow leg) deformity who were referred to orthopedic ward of an academic hospital of Isfahan- Iran during 2009–2011 were included in the study. The mean age was 17.3 ± 3.1 years and all of them underwent DLTO. The results of treatment have been assessed based on clinical and radiological parameters before and after surgery. RESULTS: The mean pre- and post operative values for Tibia-Femoral Angle, Medial Proximal of Tibia Angle (MPTA), and Lateral Distal of Tibia Angle (LDTA) were 18.13 ± 3.05° vs. 3.93 ± 0.66°, 79.13 ± 3.4° vs. 89.7 ± 1.8° and 96.40 ± 1.8° vs. 88.73 ± 3.0° respectively (P < 0.05). Improvement of all radiological parameters was meaningful. Seventy three percent of patients had normal mechanical axis of limb after surgery. The remaining cases had varus deformity in distal femur that was corrected by valgus supracondylar osteotomy in an additional operation. Limited range of motion (ROM) near knee and ankle was not observed. CONCLUSION: DLTO correct bow leg deformity in the point of alignment of limb and paralleling of knee and ankle joint more effectively. This method can be used in metabolic and congenital bow leg which deformities are present in throughout of the lower limb. We described this technique for the first time. Medknow Publications & Media Pvt Ltd 2013-12 /pmc/articles/PMC3908532/ /pubmed/24523802 Text en Copyright: © Journal of Research in Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Short Communication
Nazem, Khalilollah
Fouladi, Arash
Chinigarzadeh, Mozhdeh
Double tibial osteotomy for bow leg patients: A case series
title Double tibial osteotomy for bow leg patients: A case series
title_full Double tibial osteotomy for bow leg patients: A case series
title_fullStr Double tibial osteotomy for bow leg patients: A case series
title_full_unstemmed Double tibial osteotomy for bow leg patients: A case series
title_short Double tibial osteotomy for bow leg patients: A case series
title_sort double tibial osteotomy for bow leg patients: a case series
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3908532/
https://www.ncbi.nlm.nih.gov/pubmed/24523802
work_keys_str_mv AT nazemkhalilollah doubletibialosteotomyforbowlegpatientsacaseseries
AT fouladiarash doubletibialosteotomyforbowlegpatientsacaseseries
AT chinigarzadehmozhdeh doubletibialosteotomyforbowlegpatientsacaseseries