High tibial osteotomy: osteotomy in minus or hemicallotasis with EAF?
Between January 1988 and November 1994 a total of 29 patient were submitted to high tibial osteotomy to treat varus knee. Osteotomy in minus stabilized by staples and plaster was used in 13 cases, a monoaxial external fixator (AEF) associated with hemicallotasis was used in 16. After a period of time ranging from 11 to 58 months satisfactory results were obtained in 90% of the cases in the first group, and in 95% of those in the second. As compared to the first surgical procedure the second was characterized by: a) a simpler surgical technique; b) reduction in time required for surgery and surgical trauma with a lower incidence of septic complications; c) early mobilization of the patient and a shorter period of time in hospital; d) more accurate correction of the tibiofemoral axis.
Calista
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Reparto di Ortopedia e Traumatologia, Azienda U.S.S.L. 22, Suzzara, Mn.
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D000368:Aged; D005069:Evaluation Studies as Topic; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery*