title: Focal dome osteotomy for the correction of tibial deformity in children.
abstract: Tibial deformity in childhood often combines torsional and angular malalignment. A focal dome osteotomy was performed, proximally or distally, in 39 tibiae in 31 patients. In 33 limbs, the primary deformity was varus (with internal torsion). The osteotomy was held with K-wires and a plaster cast. The mean age at surgery was 10.25 years and the minimum follow-up 24 months. All osteotomies united and no compartment syndrome occurred. Postoperatively, two patients (5%) had temporary neurological deficits. Thirty of 31 patients had good clinical and radiological correction of alignment. Recurrent deformity was seen in one patient with hypophosphataemic rickets.
authors.affiliation: The Royal National Orthopaedic Hospital, London UK.
authors.forename: R
authors.initials: R
authors.lastname: Dilawaiz Nadeem
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Quick
authors.forename: Deborah M
authors.initials: DM
authors.lastname: Eastwood
mesh_terms: D000293:Adolescent; D001848:Bone Diseases, Developmental / Q000000981:diagnostic imaging / Q000601:surgery*; D001864:Bone Wires; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D013977:Tibia / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D014102:Torsion Abnormality; D016896:Treatment Outcome