MEDIALIZATION OF THE DISTAL FRAGMENT OF THE TIBIA FOR THE CORRECTION OF VARUS DEFORMITY OF THE LOWER LEG

The paper presents the experience of 798 reconstructive surgeries of the correction of the mechanical axis of the lower extremity in 399 patients with varus deformity of the lower leg. Most of patients had the aesthetic purpose for the operation, however the other had to prevent and treat the early stages of osteoarthritis of the knee. The main attention is paid to one of the most technically difficult correction element - medialization of the distal fragment of the tibia. This element is widely used in orthopedics for correcting curvature of the legs in patients with aesthetically unfavorable distribution of soft tissue on the shin. In fact, the main purpose of the medialization is compensation of the deficit of the soft tissue by changing the position of the bone. The justification of the feasibility of such manipulation can be the absence of any negative consequences after its use. Purpose of the paper is the justification of the allowable displacement of the distal fragment of the tibia and objective assessment of the impact of medialization on the function of the leg.

Keywords

Authors

References