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. 2009 Dec;4(3):129-33.
doi: 10.1007/s11751-009-0076-x. Epub 2009 Nov 26.

Tibial rotational osteotomy with intramedullary nail fixation

Alan K Stotts  1 , Peter M Stevens
Affiliations

Tibial rotational osteotomy with intramedullary nail fixation

Alan K Stotts et al. Strategies Trauma Limb Reconstr. 2009 Dec.

Abstract

There are several theoretic advantages of using intramedullary rod fixation for tibial osteotomy fixation. We performed a retrospective review of patients who were treated with a mid-diaphyseal osteotomy of the tibia fixed with an intramedullary rod for isolated, symptomatic tibial torsion. Forty patients (59 tibias) were included in the study and were followed for a minimum of 12 months or until rod removal (average follow-up 22.6 months). Major complication rate was 8.5%, which is comparable to alternative methods of fixation. We believe that intramedullary rods are a safe alternative for fixation of tibial rotational osteotomy in patients with physeal closure.

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Figures

Fig. 1
Fig. 1
Two view tibia radiograph demonstrating placement of intramedullary rod across osteotomy 1 month postoperative
Fig. 2
Fig. 2
Two view tibia radiograph showing healing at 8 months
See this image and copyright information in PMC

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