Derotation osteotomy to correct rotational deformities of the lower extremities in children. a comparison of three methods
Mylle, J.; Lammens, J.; Fabry, G.
Acta Orthopaedica Belgica 59(3): 287-292
1993
ISSN/ISBN: 0001-6462 PMID: 8237345 Document Number: 414561
Twenty-one supracondylar femoral and 11 tibial derotation osteotomies were performed in 17 patients to correct rotational deformities. Three different methods were used to fix the fragments after derotation: pins incorporated in plaster, plate and screws, and the Ilizarov external fixator. A retrospective review showed no difference in accuracy of derotation between the three methods. However, we recommend the use of the external fixator because it gives less malunion and permits early mobilization and (partial) weight bearing.