Femur open wedge corrective osteotomy and gradual deformity correction

Deformity correction remains a challenge to treat. However, with the advancement of corrective osteotomy and illizarov external fixation, these complex deformities are better addressed. We report a case of atrophic non- union seen in a seventeen-year-old boy who was initially treated with locking...

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Main Authors:	Ang, Poh Thean Charles, Mohd Yusof, Nazri, Awang, Mohd Shukrimi, Wong, Kuok Joon Jonathan
Format:	Article
Language:	English
Published:	American Journal of Biomedical Science & Research 2019
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/74602/ http://irep.iium.edu.my/74602/ http://irep.iium.edu.my/74602/ http://irep.iium.edu.my/74602/1/AJBSR.MS.ID.000713.pdf

id	iium-74602
recordtype	eprints
spelling	iium-746022019-10-09T07:20:39Z http://irep.iium.edu.my/74602/ Femur open wedge corrective osteotomy and gradual deformity correction Ang, Poh Thean Charles, Mohd Yusof, Nazri Awang, Mohd Shukrimi Wong, Kuok Joon Jonathan RD701 Orthopedics Deformity correction remains a challenge to treat. However, with the advancement of corrective osteotomy and illizarov external fixation, these complex deformities are better addressed. We report a case of atrophic non- union seen in a seventeen-year-old boy who was initially treated with locking plate following an open fracture to his left distal femur and tibial plateau. Infective causes was ruled out. Plain radiograph reveals a broken implant and atrophic non- union of his distal femur with thirty degrees medial angulation. He underwent removal of implant, corrective osteotomy and illizarov external fixation. At ten weeks post surgery, the deformity was completely corrected. The illizarov external fixator was removed at sixteen weeks post surgery, and he was able to ambulate without pain. Following a few sessions of physiotherapy over a period of three months, he was able to regain his knee full range of movement and was able to return to sports. Corrective osteotomy and illizarov external fixation remains the treatment of choice in chronic limb deformities, especially if suspicious of infection. This minimizes the risk of neurovascular tractional injury and implant related infection which will be disastrous to manage. American Journal of Biomedical Science & Research 2019-07-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/74602/1/AJBSR.MS.ID.000713.pdf Ang, Poh Thean Charles, and Mohd Yusof, Nazri and Awang, Mohd Shukrimi and Wong, Kuok Joon Jonathan (2019) Femur open wedge corrective osteotomy and gradual deformity correction. American Journal of Biomedical Science & Research, 3 (5). pp. 442-445. ISSN 2642-1747 https://biomedgrid.com/pdf/AJBSR.MS.ID.000713.pdf 10.34297/AJBSR.2019.03.000713
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Ang, Poh Thean Charles, Mohd Yusof, Nazri Awang, Mohd Shukrimi Wong, Kuok Joon Jonathan Femur open wedge corrective osteotomy and gradual deformity correction
description	Deformity correction remains a challenge to treat. However, with the advancement of corrective osteotomy and illizarov external fixation, these complex deformities are better addressed. We report a case of atrophic non- union seen in a seventeen-year-old boy who was initially treated with locking plate following an open fracture to his left distal femur and tibial plateau. Infective causes was ruled out. Plain radiograph reveals a broken implant and atrophic non- union of his distal femur with thirty degrees medial angulation. He underwent removal of implant, corrective osteotomy and illizarov external fixation. At ten weeks post surgery, the deformity was completely corrected. The illizarov external fixator was removed at sixteen weeks post surgery, and he was able to ambulate without pain. Following a few sessions of physiotherapy over a period of three months, he was able to regain his knee full range of movement and was able to return to sports. Corrective osteotomy and illizarov external fixation remains the treatment of choice in chronic limb deformities, especially if suspicious of infection. This minimizes the risk of neurovascular tractional injury and implant related infection which will be disastrous to manage.
format	Article
author	Ang, Poh Thean Charles, Mohd Yusof, Nazri Awang, Mohd Shukrimi Wong, Kuok Joon Jonathan
author_facet	Ang, Poh Thean Charles, Mohd Yusof, Nazri Awang, Mohd Shukrimi Wong, Kuok Joon Jonathan
author_sort	Ang, Poh Thean Charles,
title	Femur open wedge corrective osteotomy and gradual deformity correction
title_short	Femur open wedge corrective osteotomy and gradual deformity correction
title_full	Femur open wedge corrective osteotomy and gradual deformity correction
title_fullStr	Femur open wedge corrective osteotomy and gradual deformity correction
title_full_unstemmed	Femur open wedge corrective osteotomy and gradual deformity correction
title_sort	femur open wedge corrective osteotomy and gradual deformity correction
publisher	American Journal of Biomedical Science & Research
publishDate	2019
url	http://irep.iium.edu.my/74602/ http://irep.iium.edu.my/74602/ http://irep.iium.edu.my/74602/ http://irep.iium.edu.my/74602/1/AJBSR.MS.ID.000713.pdf
first_indexed	2023-09-18T21:45:37Z
last_indexed	2023-09-18T21:45:37Z
_version_	1777413429196226560

Femur open wedge corrective osteotomy and gradual deformity correction

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