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Chapter-146 Osteotomy Consideration

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Paley Dror
ISBN
9789385891052
DOI
10.5005/jp/books/12869_147
Edition
3/e
Publishing Year
2016
Pages
11
Author Affiliations
1. Maryland Centre for Limb, Lengthening and Reconstruction, Baltimore, USA, Paley Institute, St Mary’s Hospital, West Palm Beach, Florida 33407, USA, Maryland Centre for Limb Lengthening and Reconstruction, Baltimore, USA
Chapter keywords
Osteotomy, osteotomy consideration, angular malunions, varus malunions, femur, osteotomy level, deformity, low energy method, multiple drill hole, Gigli Saw osteotomy

Abstract

This chapter presents a brief discussion on osteotomy consideration. The optimal level for an osteotomy is usually at the apex of an angular deformity. A deformity apex within the bone’s metaphysis or diaphysis is suitable for osteotomy and fixation. In children, correcting a juxta-articular deformity would cause transphyseal separation, whereas in adults such a correction would necessitate an articular or intra-articular osteotomy. This chapter covers factors in determining the Level of the osteotomy, determining the true plane of the deformity and method of osteotomy i.e. low energy method using only osteotome, multiple drill holes and osteotome, and Gigli Saw technique in detail.

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