Complications of Tibial Osteotomy in Children for Genu Varum or Valgum

The Taylor spatial frame for deformity correction in the lower limbs

“…Neurovascular complications [19], residual varus, postoperative neurapraxia [11] and delayed union [10] have also been reported by other authors. Proximal tibial osteotomy, hemiepiphysiodesis, asymmetrical physeal distraction and elevation of the medial tibial plateau have been described for the management of tibia vara [7].…”

“…Proximal tibial osteotomy, hemiepiphysiodesis, asymmetrical physeal distraction and elevation of the medial tibial plateau have been described for the management of tibia vara [7]. Price et al [11] used gradual correction with a uniplanar dynamic fixator while several other authors used the IEF [2,8,17,19]. Feldman [3] presented the first report of using a TSF in the treatment of tibia vara with success in 19 patients (22 tibias)-six with infantile and 13 with adolescent tibia vara.…”

Bamboo Osteotomy for Blount’s Disease

“…However, irrespective of the type of osteotomy and fixation device, there is always a risk of neurologic injury and compartment syndrome with acute correction. [3] Despite carefully protecting the neurovascular structures and even prophylactic fasciotomy, up to one-third of patients may have transient or permanent neurologic injury postoperatively 4,5 . Closed wedge osteotomy often worsens preexisting limb shortening and may compromise metaphyseal bone stock.…”

Fractioned drilling ? a technique for wedge osteotomy of the knee

“…From our experience, and from the literature [2][3][4][5][6][7][8][9][11][12][13][14] it seems that neurological problems, usually transient, are the main complications following high tibial osteotomy. We have studied retrospectively 132 patients who underwent this procedure, and in whom external fixation was also used.…”