Introduction: Proximal tibial injury leading to tibia valga which, in turn, leading to genu valgum is well described deformity. Management options vary between growth modulation and corrective osteotomy. Osteotomy which is used for skeletally mature patients can either be done in single stage or in multiple stages or in gradual manner.
Case Report: We describe here a method to obtain single-stage correction with two-level osteotomy in a 20-year-old patient. It includes medial closing wedge osteotomy at distal femur and translational osteotomy at tibial shaft.
Conclusion: This method of two-level osteotomy recognizes and treats two deformities (i.e., genu valgum and tibia valga) separately and achieves correction in one stage with perfect restoration of mechanical axis of lower limb and joint line obliquity of knee.
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http://dx.doi.org/10.13107/jocr.2021.v11.i01.1954 | DOI Listing |
Sci Rep
October 2024
Department of Spinal Cord Surgery, Henan Provincial People's Hospital, Zhengzhou, 45003, Henan, China.
J Orthop Surg Res
September 2024
Department of Orthopedics, The University of Hongkong-Shenzhen Hospital, Shenzhen, 518053, Guangdong, PR China.
Eur Spine J
May 2024
Department of Orthopedic Surgery, Seoul National University College of Medicine, 101 Daehangno, Jongno-gu, Seoul, Republic of Korea.
Purpose: To identify the factors associated with a correction of the segmental angle (SA) with a total change greater than 10° in each level following minimally invasive oblique lumbar interbody fusion (MIS-OLIF).
Methods: Patients with lumbar spinal stenosis who underwent single- or two-level MIS-OLIF were reviewed. Segments with adequate correction of the SA >10° after MIS-OLIF in immediate postoperative radiograph were categorized as discontinuous segments (D segments), whereas those without such improvement were assigned as continuous segments (C segments).
BMC Surg
January 2024
Department of Orthopedics, Affiliated Fuyang People's Hospital of Anhui Medical University, 501 Sanqing Road, Fuyang, 236000, Anhui, China.
Background: The purpose of this study was to create a mathematical model to precalculate the acreage change in the abdominal median sagittal plane (ac-AMSP) of patients with ankylosing spondylitis (AS) for whom two-level pedicle subtraction osteotomy (PSO) was planned.
Methods: A single-centre retrospective review of prospectively collected data was conducted among 11 adults with AS. Acreage of the abdominal median sagittal plane (a-AMSP) was performed.
Int J Surg Case Rep
January 2024
Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia. Electronic address:
Introduction And Importance: A high-angle thoracolumbar kyphotic deformity (TLKD) may complicate surgical rectification of AS patients since one-stage two-level pedicle subtraction osteotomy (PSO), which provides high-angular correction, leads to excessive blood loss, neurological deficits and fixation failures. This case series presents the long-term results of one-stage single level PSO with Ponte osteotomy (PO) in the treatment of AS patients with high-angle TLKD.
Case Presentation: This case series presents two AS patients with high kyphotic angles (KAs) of 86.
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