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Acute Deformity Correction Using an Osteotomy

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Pediatric Lower Limb Deformities

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Abstract

Acute correction following an osteotomy involves a single-stage correction of the skeletal deformity. Such correction is typically more suitable for mild to moderately severe uniplanar deformities and in young children. The correction is usually performed at the metaphysis or closer to the apex of the deformity and is not associated with substantial change in limb length. However, the greater healing potential in a child allows for small amounts of simultaneous lengthening or shortening. Minor residual deformity often corrects by remodelling unless the deforming forces persist or the function of the adjacent growth plate is compromised. Acute correction is generally preferred to gradual correction in children due to shorter treatment period and time away from school. Such correction is also preferred near sites like the hip and foot where external fixation devices are poorly tolerated. However, when used for larger magnitudes of correction, simultaneous shortening may be required to avoid the risk of compartment syndrome or neurovascular compromise.

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Authors and Affiliations

  1. Paediatric orthopedics Unit, CMC Hospital, Christian Medical College, Vellore, POR Office, Thottapalayam, Vellore, Tamil Nadu, 632004, India

    Vrisha Madhuri D Orth,MS,Orth,MCh Orth(L pool)

  2. Paediatric orthopedics Unit, Christian Medical College, Vellore, Vellore, Tamil Nadu, 632004, India

    Sangeet Gangadharan DNB Orth

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  1. Vrisha Madhuri D Orth,MS,Orth,MCh Orth(L pool)
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  2. Sangeet Gangadharan DNB Orth
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Correspondence to Vrisha Madhuri D Orth,MS,Orth,MCh Orth(L pool) .

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  1. Professor, Department of Orthopedics; Chief, Division of Pediatric Orthopedics, Rutgers-New Jersey Medical School, Newark, New Jersey, USA

    Sanjeev Sabharwal

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Madhuri, V., Gangadharan, S. (2016). Acute Deformity Correction Using an Osteotomy. In: Sabharwal, S. (eds) Pediatric Lower Limb Deformities. Springer, Cham. https://doi.org/10.1007/978-3-319-17097-8_6

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  • DOI: https://doi.org/10.1007/978-3-319-17097-8_6

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