Lower Limb Deformity Analysis and the Planning of an Osteotomy

Schröter, Steffen; Elson, David W.; Ateschrang, Atesch; Ihle, Christoph; Stöckle, Ulrich; Dickschas, Jörg; Harrer, Jörg

doi:10.1055/s-0037-1603503

Cited by 51 publications

(33 citation statements)

References 94 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For example, patients with hip pain due to excessive internal torsion should undergo DO on the proximal femur. 6 Other studies have suggested that the segment chosen for osteotomy should depend on coronal alignment; for example, if a femur is in valgus and has excessive internal torsion, the osteotomy should be done on the distal femur. 7 Alternatively, the choice of segment may be dependent on surgical results; for example, the higher rate of complications after DO on the proximal than on the distal tibia has suggested that DO should be done on the distal tibia.…”

mentioning

confidence: 99%

A Novel Approach to Lower-limb Axial Alignment Analysis: A CT Study

et al. 2019

View full text Add to dashboard Cite

Purpose:To analyze the torsion of the lower extremities in a healthy cohort and to determine the contribution of different segments of the femur and tibia to the torsion of both bones.Methods:In this cross-sectional study, 32 patients with nonjoint or bone-related symptoms were analyzed by CT angiography. Lower-limb torsion, femoral torsion, proximal femoral torsion, femoral shaft torsion, distal femoral torsion, tibial torsion, proximal tibial torsion, and distal tibial torsion were measured.Results:The median total limb torsion was 25° external torsion, with the median femoral torsion being −9° and the median tibial torsion 30°. Both femoral metaphyses had internal torsion, with the internal torsion of the proximal metaphysis being approximately three times greater than that of the distal femoral metaphysis. The shaft was found to compensate with an external torsion of approximately two-thirds of the internal torsion of both femoral metaphyses. The proximal metaphysis of the tibia accounted for approximately one-third of the external torsion, with the segment from the distal to the tibial tubercle accounting for the remaining two-thirds of the tibial torsion.Conclusions:The diaphysis and distal metaphysis are the major contributors to external torsion of the tibia, whereas the proximal metaphysis is the major contributor to the internal torsion of the femur.

show abstract

mentioning

confidence: 99%

A Novel Approach to Lower-limb Axial Alignment Analysis: A CT Study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Hem ön-arka (frontal) hem de lateral (sagittal) radyografilerde açılanma varsa bu biplanar deformite olup buna oblik plan deformitesi adı verilir (Şekil 31). [6][7][8][9][10] Açısal deformitelerin apeksi iki farklı planda olabilir. Frontal plan için medial ve lateral (varus, valgus), sagittal plan için anterior ve posterior (prokurvatum, rekurvatum) olmak üzere her düzlem için iki olasılık vardır.…”

Section: Oblik Plan Deformitesiunclassified

Deformite analiz ve planlama prensipleri

Kürklü¹,

Basbozkurt²,

Abay³

2020

TOTBID

View full text Add to dashboard Cite

Bu derleme deformite analizi ve planlamasına genel bir bakış açısı sağlamaktadır. Deformite analizinde farklı metodlar kullanılırken, değişmeyen parametre doğru radyografi çekimidir. Deformite basitten komplekse geniş bir yelpaze içerirken, radyografik olarak frontal ve sagittal planlar mutlak değerlendirilmektedir. Bir ortopedik cerrahın deformite planlaması için öncelikle ekstremitenin normal parametrelerini bilmesi gerekmektedir.Anahtar sözcükler: deformite; analiz; planlama This article will provide a general review of deformity analysis and deformity planning. Several techniques are used in deformity analysis; however precise radiography is essential. Deformities range from basic to complex deformities, and they are evaluated radiologically in both frontal and sagittal planes. The orthopedic surgeon must know normal parameters of the extremities to assess deformity planning.

show abstract

“…18,19 The technique, how to measure the torsion, was recently published by the same working group. 20 The authors recommend the method according to Waidelich et al 17 (►Fig. 4).…”

Section: Radiographsmentioning

confidence: 99%

Torsional Osteotomy

et al. 2019

Self Cite

View full text Add to dashboard Cite

This article provides an overview of symptomatic torsional deformities of the lower extremity, and operative treatment techniques are described in detail. A definition of torsion versus rotation as well as information to physical examination and the relevance of radiological evaluation is given. Based on current literature and the own personal experience of the authors in osteotomies, surgical techniques at the proximal and at the distal femur, as well as at the tibia are presented.

show abstract

Lower Limb Deformity Analysis and the Planning of an Osteotomy

Cited by 51 publications

References 94 publications

A Novel Approach to Lower-limb Axial Alignment Analysis: A CT Study

A Novel Approach to Lower-limb Axial Alignment Analysis: A CT Study

Deformite analiz ve planlama prensipleri

Torsional Osteotomy

Contact Info

Product

Resources

About