Sarikaya Ilker Abdullah, Seker Ali, Erdal Ozan Ali, Talmac Mehmet Ali, Inan Muharrem
Ortopediatri Istanbul, Istanbul, Turkey.
Istanbul Medipol University Department of Orthopaedics and Traumatology, Istanbul, Turkey.
Acta Orthop Traumatol Turc. 2018 Sep;52(5):352-356. doi: 10.1016/j.aott.2018.02.003. Epub 2018 Aug 14.
Tibial derotation osteotomy can be used in the treatment of rotational deformities in case of ineffective conservative management. Our aim was to evaluate the results of the patients who underwent minimal invasive plate osteosynthesis for tibial derotation osteotomies.
Total of 16 patients (17 procedures) were included in this study. Mean age was 11.5 (3-25) years. We clinically assessed the tibial torsion by measuring the thigh-foot angle (TFA). No immobilization was used postoperatively and range of motion exercises were begun immediately. The patient was allowed weight-bearing activity, as tolerated, when callus formation was seen on the radiographs, at approximately three to four weeks after surgery.
The mean follow-up time was 27.5 months. Mean preoperative and follow up TFA were 27° of internal rotation and 3.74° of external rotation, respectively. A mean of 22.3° improvement was achieved postoperatively. There was only one wound detachment, which was accepted as a complication and healed with local wound care.
The recurrence risk and correction loss can be decreased with plate-screw fixation. Minimal invasive surgery would also decrease the risk of wound complications.
Level IV, Therapeutic study.
在保守治疗无效的情况下，胫骨旋转截骨术可用于治疗旋转畸形。我们的目的是评估接受微创钢板接骨术进行胫骨旋转截骨术患者的治疗结果。
本研究共纳入16例患者（17例手术）。平均年龄为11.5岁（3 - 25岁）。我们通过测量大腿 - 足角（TFA）对胫骨扭转进行临床评估。术后未使用固定，术后立即开始进行活动度锻炼。术后约三到四周，当X线片显示有骨痂形成时，允许患者根据耐受情况进行负重活动。
平均随访时间为27.5个月。术前平均TFA为内旋27°，术后随访平均为外旋3.74°。术后平均改善22.3°。仅发生1例伤口裂开，被视为并发症，经局部伤口护理后愈合。
钢板螺钉固定可降低复发风险和矫正丢失。微创手术也会降低伤口并发症的风险。
IV级，治疗性研究。
