An accurate method of determining a single-plane osteotomy to correct a combined rotational and angular deformity

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• 作者：James Youngman ; Dimitri Raptis…
• 关键词：Osteotomy ; Correction ; Deformity ; Realignment ; Single cut
• 刊名：Strategies in Trauma and Limb Reconstruction
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：10
• 期：1
• 页码：35-39
• 全文大小：1,130 KB
• 参考文献：1.Nyska M, Trnka HJ, Parks GB, Myerson MS (2003) The Ludloff metatarsal osteotomy: guidelines for optimal correction based on geometric analysis conducted on a saw bone model. Foot Ankle Int 24:34鈥?9PubMed
  2.Paley D (2002) Principles of deformity correction. Ch 9. Springer, Berlin, pp 235鈥?68View Article
  3.Waanders NA, Herzenberg JE (1992) The theoretical application of inclined hinges with the Ilizarov external fixator for simultaneous angulation and rotation correction. Bull Hosp Jt Dis 52:27鈥?5PubMed
  
• 作者单位：James Youngman (1)
  Dimitri Raptis (2)
  Khalid Al-Dadah (1) (3)
  Fergal Monsell (4)
  
  1. Department of Trauma and Orthopaedic Surgery, University College London Hospital, 235 Euston Road, London, NW1 2BU, UK
  2. University Hospital Zurich, Zurich, Switzerland
  3. Imperial College London, London, UK
  4. Bristol Royal Hospital for Children, Bristol, UK
  
• 刊物主题：Orthopedics; Traumatic Surgery; Surgical Orthopedics;
• 出版者：Springer Milan
• ISSN：1828-8928

文摘

Conventional osteotomy used for the correction of deformity is performed out of the plane of deformity creating a wedge either opening or closing when the deformity is corrected. Deformity that is a combination of rotation and angulation exists in a single plane that is oblique to the coronal, sagittal and axial planes depending on the magnitude of deformity measured in each plane. Accurate planning and a simple method of finding this oblique plane operatively is presented. This method starts by finding the bisector of angulation. This is marked by a wire that lies in the plane of angulation and along the bisector of angulation. The saw blade is rotated about this bisector axis according to the proportion of angulation and rotation. There is no second reorientation of the saw blade required making the final plane much easier to define. This single-plane oblique osteotomy allows accurate realignment of the limb.