[The surgical treatment of pseudoarthroses and congenital curvatures of the leg. Review of the literature on the basis of 7 personal cases (author's transl)].
On the basis of 7 personal cases of pseudarthrosis and of congenital curvature of the leg reported in detail, including 6 in which consolidation was obtained with a valid follow up (5 cases for more than 14 years), a review is undertaken of the results of surgical techniques. Analysis of these 7 cases and of 82 sufficiently detailed cases from the literature indicate that the transtarsal nailing suggested by Guillemin, combined with corticospongiose grafts, remains the technique of choice. A number of suggestions are made on particular technical points. This method results in consolidation and above all offers the best protection against recurrent fractures whilst retaining a good axis and without interfering with growth. It is the method which limits to a minimum the sequelae of shortening and valgus deformity of the ankle. Indications differ for curvatures and constituted pseudarthroses and the age at which treatment should be started is discussed.
D000293:Adolescent; D000328:Adult; D001858:Bone Nails; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008722:Methods; D011542:Pseudarthrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D013977:Tibia / Q000002:abnormalities* / Q000601:surgery
Le traitement chirurgical des pseudarthroses et courbures congénitales de jambe. Revue de la littérature à propos de 7 cas personnels.