Intramedullary nail fixation of femoral and tibial percutaneous rotational osteotomy in skeletally mature adolescents with cerebral palsy

Ferri-de-Barros F., Inan M., Miller F.

JOURNAL OF PEDIATRIC ORTHOPAEDICS, cilt.26, sa.1, ss.115-118, 2006 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 1
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1097/01.bpo.0000189006.78045.ml
  • Dergi Adı: JOURNAL OF PEDIATRIC ORTHOPAEDICS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.115-118
  • İnönü Üniversitesi Adresli: Hayır

Özet

Twenty percutaneous rotational osteotomies, stabilized with interlock nails, were performed in the lower limbs of 15 skeletally mature adolescents with cerebral palsy to correct rotational deformities. The medical records and radiographs of those patients were retrospectively reviewed. Nineteen osteotomies (95%) in 15 patients healed without major complications. One patient had one tibia (5%) pseudarthrosis, which was successfully treated with additional fibular osteotonty and exchanging the nail. Excluding this case, the average healing time for the femoral and tibial osteotomies was 8 weeks, ranging from 7 to 9 and from 6 to 10 weeks, respectively. Casting was not required to add stability. Percutaneous rotational osteotonty with intramedullary nail fixation is a reliable and effective treatment option to correct rotational malalignment of the lower limb in skeletally mature patients with cerebral palsy.