Proximal tibial extension medial rotation osteotomy to correct knee flexion contracture and lateral rotation deformity of tibia after polio.
A proximal tibial extension medial rotation osteotomy was performed on 17 tibias in postpoliomyelitis patients to correct knee flexion contractures simultaneously with the correction of lateral rotation deformity of the tibia through the same osteotomy. Gait improved in 10 patients. Five patients developed recurrence of knee flexion contractures; five more developed greater than 20 degrees genu recurvatum. One patient developed a common peroneal nerve palsy. Because of the high incidence of complications, we recommend that this procedure be abandoned.
Asirvatham
R
R
Department of Orthopedic Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudia Arabia.
Rooney
R J
RJ
Watts
H G
HG
D000293:Adolescent; D001848:Bone Diseases, Developmental / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D003286:Contracture / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005684:Gait; D006801:Humans; D007719:Knee Joint; D008297:Male; D010027:Osteotomy / Q000379:methods / Q000592:standards*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D016262:Postpoliomyelitis Syndrome / Q000150:complications*; D012008:Recurrence; D012399:Rotation; D013977:Tibia