Fibular rotational osteotomy for the treatment of distal tibial osteochondroma: a technical modification for deformity correction and improved outcomes.
The technique of choice for excision of osteochondromas located in the lateral aspect of the tibia is a transfibular approach to expose the lesion for resection. A drawback of this approach is that removal of the lesion leaves a void that may cause a visible deformity and adversely affect long-term function. Fibular rotational osteotomy followed by fibular graft may minimize the resultant deformity, producing a more satisfactory functional and cosmetic result. The authors report a retrospective case series consisting of 5 cases in which a fibular graft rotation was performed after rotational osteotomy via a transfibular approach. Retrograde intramedullary fixation by means of a Kirschner wire, in combination with the design of the fibular osteotomy, provided rotational graft and fibular stability until healing occurred.
Gil-Albarova
Jorge
J
Servicio de Cirugía, Ortopédica y Traumatología, Hospital Universitario Miguel Servet, Zaragoza, Spain. jgilalba@unizar.es
Gil-Albarova
Raúl
R
Bregante-Baquero
Juan
J
D001859:Bone Neoplasms / Q000601:surgery*; D016723:Bone Remodeling / Q000502:physiology; D016025:Bone Transplantation / Q000379:methods; D001864:Bone Wires; D002648:Child; D005260:Female; D005360:Fibula / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D008297:Male; D015831:Osteochondroma / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D017060:Patient Satisfaction; D020127:Recovery of Function / Q000502:physiology; D012189:Retrospective Studies; D012399:Rotation; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology