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Year : 2000  |  Volume : 34  |  Issue : 3  |  Page : 177-180

Proximal Tibial Serpentine Osteotomy As Prophylactic Treatment Of Pre-Psuedarthrotic High Risk Tibia

Correspondence Address:
Sanjay Agarwala

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Source of Support: None, Conflict of Interest: None

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Congenital anterolateral bowing of the tibia associated with dysplastic changes such as cortical tapering, formation of a cyst, or sclerosis that obliterates the medullary canal nearly always develops into a pseudarthrosis. Fracture usually occurs in these tibia following inconsequential trauma. Multiple procedures may be necessary to attain osseous union. Severe shortening and painful or stiff joints often result. Many authors have cautioned against doing a corrective osteotomy through the deformed part of tibia as this invariably results in pseudarthrosis. We treated two cases of prepseudarthrotic tibia with corrective osteotomy proximal to the pathological segment of tibia and allowed the bone to remodel according to the Heuter Volkmann principle. The follow-up at 52 months shows that this helps in correcting the deformity and preventing pseudarthrosis.

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