Simultaneous bilateral correction of genu varum with Smart frame

Purpose: The aim of this study is to evaluate clinical and radiological results of simultaneous bilateral correction of genu varum with Smart frame. Methods: Between 2011 and 2015, a total of 25 patients (10 females, 15 males) who had bilateral genu varum deformity were operated bilaterally with tibial and fibular osteotomy in the same session, using Smart frame. The mean follow-up period was 28.7 (range, 13-45) months. All patients had bilateral tibial varus deformity. Femoral deformity was corrected in an earlier session in nine patients. Mechanical axis deviation (MAD), mechanical lateral distal femoral angle, mechanical medial proximal tibial angle (mMPTA) and posterior proximal tibial angle (PPTA) were measured preoperatively and postoperatively. Short Form-36 questionnaire was filled by the patients preoperatively and during the last follow-up. Results: The mean preoperative MAD was 37.6 mm (range, 9-98 mm), which improved to 8.4 mm (range, 3-44 mm) postoperatively (p < 0.05). The mean preoperative mMPTA was 76 degrees, which improved to 89 degrees (p < 0.05). The mean preoperative PPTA was 75.5 degrees, which improved to 80.3 (p < 0.05). Ten problems (20%), two obstacles (4%) and no sequelae occurred in 50 legs of 25 patients. Conclusions: In conclusion, Smart frame is an accurate and reliable method for performing bilateral simultaneous deformity correction in patients with bilateral genu varum deformity. It can be applied for various childhood-induced severe tibial deformities such as achondroplasia, rickets, skeletal dysplasia and Blount's disease.

Yazar Ozkul, Baris
Camurcu, Yalkin
Sokucu, Sami
Yavuz, Umut
Akman, Yunus Emre
Demir, Bilal
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3330
Tek Biçim Adres 10.1177/2309499017713915
Konu Başlıkları genu varum deformity
hexapod
rickets
skeletal dysplasia
spatial fixator
tibia vara
tibial osteotomy
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı JOURNAL OF ORTHOPAEDIC SURGERY
Dergi Cilt Bilgisi 25
Dergi Sayısı 2
Sayfalar -
Yayın Yılı 2017
Eser Adı
[dc.title]
Simultaneous bilateral correction of genu varum with Smart frame
Yazar
[dc.contributor.author]
Ozkul, Baris
Yazar
[dc.contributor.author]
Camurcu, Yalkin
Yazar
[dc.contributor.author]
Sokucu, Sami
Yazar
[dc.contributor.author]
Yavuz, Umut
Yazar
[dc.contributor.author]
Akman, Yunus Emre
Yazar
[dc.contributor.author]
Demir, Bilal
Yayın Yılı
[dc.date.issued]
2017
Yayıncı
[dc.publisher]
SAGE PUBLICATIONS INC
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Purpose: The aim of this study is to evaluate clinical and radiological results of simultaneous bilateral correction of genu varum with Smart frame. Methods: Between 2011 and 2015, a total of 25 patients (10 females, 15 males) who had bilateral genu varum deformity were operated bilaterally with tibial and fibular osteotomy in the same session, using Smart frame. The mean follow-up period was 28.7 (range, 13-45) months. All patients had bilateral tibial varus deformity. Femoral deformity was corrected in an earlier session in nine patients. Mechanical axis deviation (MAD), mechanical lateral distal femoral angle, mechanical medial proximal tibial angle (mMPTA) and posterior proximal tibial angle (PPTA) were measured preoperatively and postoperatively. Short Form-36 questionnaire was filled by the patients preoperatively and during the last follow-up. Results: The mean preoperative MAD was 37.6 mm (range, 9-98 mm), which improved to 8.4 mm (range, 3-44 mm) postoperatively (p < 0.05). The mean preoperative mMPTA was 76 degrees, which improved to 89 degrees (p < 0.05). The mean preoperative PPTA was 75.5 degrees, which improved to 80.3 (p < 0.05). Ten problems (20%), two obstacles (4%) and no sequelae occurred in 50 legs of 25 patients. Conclusions: In conclusion, Smart frame is an accurate and reliable method for performing bilateral simultaneous deformity correction in patients with bilateral genu varum deformity. It can be applied for various childhood-induced severe tibial deformities such as achondroplasia, rickets, skeletal dysplasia and Blount's disease.
Açıklama
[dc.description]
WOS: 000403656900001
Açıklama
[dc.description]
PubMed: 28617182
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
genu varum deformity
Konu Başlıkları
[dc.subject]
hexapod
Konu Başlıkları
[dc.subject]
rickets
Konu Başlıkları
[dc.subject]
skeletal dysplasia
Konu Başlıkları
[dc.subject]
spatial fixator
Konu Başlıkları
[dc.subject]
tibia vara
Konu Başlıkları
[dc.subject]
tibial osteotomy
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
2309-4990
Dergi Adı
[dc.relation.journal]
JOURNAL OF ORTHOPAEDIC SURGERY
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
25
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1177/2309499017713915
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3330
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
16
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
10 Nisan 2024 04:44
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Tıklayınız
patients bilateral deformity tibial degrees improved preoperative (range mechanical follow-up session proximal postoperatively simultaneous correction preoperatively problems Purpose obstacles applied disease Blount dysplasia skeletal rickets achondroplasia deformities severe childhood-induced various performing method reliable accurate conclusion
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