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Femur open wedge corrective osteotomy and gradual deformity correction

Ang, Poh Thean Charles, and Mohd Yusof, Nazri and Awang, Mohd Shukrimi and Wong, Kuok Joon Jonathan (2019) Femur open wedge corrective osteotomy and gradual deformity correction. American Journal of Biomedical Science & Research, 3 (5). pp. 442-445. ISSN 2642-1747

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Deformity correction remains a challenge to treat. However, with the advancement of corrective osteotomy and illizarov external fixation, these complex deformities are better addressed. We report a case of atrophic non- union seen in a seventeen-year-old boy who was initially treated with locking plate following an open fracture to his left distal femur and tibial plateau. Infective causes was ruled out. Plain radiograph reveals a broken implant and atrophic non- union of his distal femur with thirty degrees medial angulation. He underwent removal of implant, corrective osteotomy and illizarov external fixation. At ten weeks post surgery, the deformity was completely corrected. The illizarov external fixator was removed at sixteen weeks post surgery, and he was able to ambulate without pain. Following a few sessions of physiotherapy over a period of three months, he was able to regain his knee full range of movement and was able to return to sports. Corrective osteotomy and illizarov external fixation remains the treatment of choice in chronic limb deformities, especially if suspicious of infection. This minimizes the risk of neurovascular tractional injury and implant related infection which will be disastrous to manage.

Item Type: Article (Journal)
Additional Information: 3756/74602
Uncontrolled Keywords: Deformity correction, Open wedge osteotomy, Illizarov external fixation.
Subjects: R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Kulliyyah of Medicine
Depositing User: Nazri Mohd. Yusof
Date Deposited: 09 Oct 2019 15:20
Last Modified: 24 Jun 2020 11:36
URI: http://irep.iium.edu.my/id/eprint/74602

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