Tibial rotational osteotomy with intramedullary nail fixation.
There are several theoretic advantages of using intramedullary rod fixation for tibial osteotomy fixation. We performed a retrospective review of patients who were treated with a mid-diaphyseal osteotomy of the tibia fixed with an intramedullary rod for isolated, symptomatic tibial torsion. Forty patients (59 tibias) were included in the study and were followed for a minimum of 12 months or until rod removal (average follow-up 22.6 months). Major complication rate was 8.5%, which is comparable to alternative methods of fixation. We believe that intramedullary rods are a safe alternative for fixation of tibial rotational osteotomy in patients with physeal closure.
Stotts
Alan K
AK
Orthopaedic Surgery, Primary Children's Medical Center, University of Utah, 100 Mario Capecchi Drive #4550, Salt Lake City, UT 84113 USA.
Stevens
Peter M
PM