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Lateral Gradual Opening Osteotomy of the Tibia With Monolateral External Fixator for Correcting the Valgus Deformity of the Tibia.
Motta, Diego Perez da; Faria, José Leonardo Rocha de; Cruz, Carolina Muruci; Aguiar, Diego Pinheiro; Amaral, Marcus Vinicius Galvão; Kropf, Leandro Lemgruber; Motta, Guilherme Augusto Tapado Araújo da; Cerqueira, Fernando Dos Santos; Leonetti, Bruno Domenico; Cerqueira, Flavio Dos Santos.
Afiliação
  • Motta DPD; Center for Specialized Care of the Treatment Area of Dysmetry and Deformities of the Locomotor System, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.
  • Faria JLR; Center for Specialized Care of Knee Surgery, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.
  • Cruz CM; Nossa Senhora do Carmo Hospital, Rio de Janeiro, Brazil.
  • Aguiar DP; State University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Amaral MVG; Center for Specialized Care Shoulder and Elbow Surgery, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.
  • Kropf LL; Center for Specialized Care of the Treatment Area of Dysmetry and Deformities of the Locomotor System, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.
  • Motta GATAD; Center for Specialized Care of the Treatment Area of Dysmetry and Deformities of the Locomotor System, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.
  • Cerqueira FDS; Center for Specialized Care of the Treatment Area of Dysmetry and Deformities of the Locomotor System, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.
  • Leonetti BD; Center for Specialized Care of the Treatment Area of Dysmetry and Deformities of the Locomotor System, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.
  • Cerqueira FDS; Center for Specialized Care of the Treatment Area of Dysmetry and Deformities of the Locomotor System, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.
Arthrosc Tech ; 11(12): e2271-e2277, 2022 Dec.
Article em En | MEDLINE | ID: mdl-36632387
The valgus deformity in the tibia requires correction because it places increased pressure on the lateral compartment of the knee, intensifying the degenerative process. Correction strategies are diverse and depend on patient profile, age, and soft-tissue conditions as well as the orthopaedic surgeon's experience with different surgical materials. Deformity size and location are the primary factors contributing to material and shape choice, whether gradual or acute. The only gradual correction approach involves the use of a monolateral or circular external fixator. This is the only indication for correction in cases of excellent deformity, soft-tissue involvement, and a history of bone infection. This study aimed to present a gradual correction technique for tibial valgus deformity using a monolateral external fixator as well as its postoperative follow-up. This technique has the advantages of greater patient acceptance, lighter assembly, and briefer distraction owing to the use of a single piece as well as the ability of the operated limb to bear a load the day after the surgical procedure and dynamic outpatient follow-up.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Arthrosc Tech Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Arthrosc Tech Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda