Discusión entre pares / 4year boy 40day old ago

Mustafa Kanjo

4year boy
40day old ago 

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  Alberto Padilla D

  

  
  
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  Alberto Padilla D

  

  
  
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  Alberto Padilla D tibial osteotomy and fix w/ plate or ex fix

  
  
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  Siddhartha V Paluvadi Conservative. Well remodel without doubt.

  
  
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  Ananda Regmi It is an angular malalignment needs osteotomy n plating as because angulation is towards upperpart of lower third.

  
  
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  John Rabadi No thing to do.. It will be remodeling nevermind

  
  
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  Alberto Padilla D NO, the deformity is to much to remodel is about 20°. Osteotomy and plate

  
  
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  Omar Kelany Conservative

  20 de marzo a la(s) 10:39 · Me gusta · 2
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  Alberto Padilla D NO

  
  
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  Omar Kelany 4y ....High tendency for remodeling which already start....conservative

  
  
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  Sagar Chhetri Angular malalignment.....needs osteotomy n fixation probably plating will be good choice...........

  
  
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  Kanav Padha Should do osteotomy. Reasons-1. Ankle are not growing ends so chance or remodelling less.2.deformity not in plane of motion of joint.3. Varus less tolerated than valgus.
  Remember we do corrective osteotomy in cubitus varus ( non wt bearing joint) why not in wt bearing joint.

  
  
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  Alberto Padilla D the osteotomy must be made in CORA (center of rotation). or curve, wedge ???

  
  
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  Safooh Shoairieh Only 4 yesrs! Conservative and shoe insert to enhance remodeling.

  
  
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  Pedro Jorba I measure it to be about 15 degrees. It might indeed need an osteotomy, but personally, I would wait 4-6 months to see how much it remodels. It won't hurt to wait a little bit, and really, it's such a young child.

  
  
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  Deepak N Inamdar wait for an year-two at least see remodeling then plan further

  
  
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  Vishal Garg follow up X rays:: if deformity does not increase in next 2 years then it should correct itself in adolescence::::: but if it deteriorates: corrective osteotomy

  
  
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  Shyamlal Mukhi Ball Osteotomy both fibula and tibia and cast ( drill holes)

  
  
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  Anuj Agrawal The deformity, if correctly measured, is around 15-16°. I have checked the literature regarding acceptable limits of angulation in tibial fractures, and surprisingly could not find any for young children less than 5-6 years of age.
  For children less th...Ver más

  
  
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  Deepak N Inamdar am surprised that so many are suggesting osteotomy at first shot ....for a 4yr old child ???