Ortopedia Infantil y Lesiones Deportivas
Dr. Juan Agustín Valcarce León
Trabajando...
sábado, 22 de marzo de 2014
Discusión entre pares / 4year boy 40day old ago
Mustafa Kanjo
4year boy
40day old ago
Alberto Padilla D
Alberto Padilla D
Alberto Padilla D
tibial osteotomy and fix w/ plate or ex fix
Siddhartha V Paluvadi
Conservative. Well remodel without doubt.
Ananda Regmi
It is an angular malalignment needs osteotomy n plating as because angulation is towards upperpart of lower third.
John Rabadi
No thing to do.. It will be remodeling nevermind
Alberto Padilla D
NO, the deformity is to much to remodel is about 20°. Osteotomy and plate
Omar Kelany
Conservative
20 de marzo a la(s) 10:39
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Alberto Padilla D
NO
Omar Kelany
4y ....High tendency for remodeling which already start....conservative
Sagar Chhetri
Angular malalignment.....needs osteotomy n fixation probably plating will be good choice...........
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.
Alberto Padilla D
the osteotomy must be made in CORA (center of rotation). or curve, wedge ???
Safooh Shoairieh
Only 4 yesrs! Conservative and shoe insert to enhance remodeling.
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.
Deepak N Inamdar
wait for an year-two at least see remodeling then plan further
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
Shyamlal Mukhi
Ball Osteotomy both fibula and tibia and cast ( drill holes)
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
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Deepak N Inamdar
am surprised that so many are suggesting osteotomy at first shot ....for a 4yr old child ???
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