Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy
Yıl: 2019 Cilt: 30 Sayı: 3 Sayfa Aralığı: 316 - 321 Metin Dili: İngilizce DOI: 10.5606/ehc.2019.19002 İndeks Tarihi: 20-11-2020
Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy
Öz: Patellar instability in skeletally immature patients must beapproached with concern of potential damage to physes. Inthis article, we present a case of combined knee deformityconsisting of genu recurvatum, genu valgum and patellabaja which arose subsequent to a pediatric tibial tubercleventromedialization. Patient was a female who was 22 yearsold upon first admission. After confirming cartilage to bein good health, the deformity was corrected with a singlesupratubercular posteriorly and medially based proximaltibial closing wedge osteotomy. At the seventh year follow-up,patient was pain free, functionally satisfied and radiographicevaluation showed correct alignment. This case illustrates theconsequent difficulties faced if physeal damage occurs duringtreatment of patellar instability as well as effectiveness of asingle well-planned supratubercular proximal tibial osteotomytreating combined genu recurvatum, genu valgum and patellabaja deformities; although anatomic and clinical studies arerequired to generalize its use.
Anahtar Kelime: Tek proksimal tibial kapalı kama osteotomisi ile tibial tüberkül ventromedializasyonunu takiben kombine deformitenin tedavisi
Öz: İskelet gelişimi tamamlanmamış hastalarda patellar instabiliteye yaklaşırken olası fizis hasarı göz önünde bulundurulmalıdır. Bu yazıda, pediatrik tibial tüberkül ventromedializasyonunu takiben gelişen; genu rekurvatum, genu valgum ve patella baja’dan oluşan bir kombine diz deformitesi olgusu sunuldu. Hasta ilk başvurusunda 22 yaşında olan bir kadın idi. Kıkırdağın sağlıklı olduğu doğrulandıktan sonra deformite tek bir supratüberküler posteriyor ve medial temelli proksimal tibial kapalı kama osteotomisi ile düzeltildi. Yedinci yıl kontrolünde hastanın ağrısı yoktu, fonksiyonel açıdan memnundu ve radyografik değerlendirme düzgün dizilim gösterdi. Bu olgu patellar instabilite tedavisi sırasında fizis hasarı gelişirse karşılaşılacak zorlukları ve kombine genu rekurvatum, genu valgum ve patella baja deformitelerini tedavi eden tek bir iyi planlanmış supratüberküler proksimal tibial osteotominin etkililiğini, kullanımının yaygınlaşması için anatomik ve klinik çalışmalara gerek olsa da göstermektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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| APA | Sezgin E, SZERB D, Tóth Z, Hangody L (2019). Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy. , 316 - 321. 10.5606/ehc.2019.19002 |
| Chicago | Sezgin Erdem Aras,SZERB Dr. Imre,Tóth Zoltán,Hangody Laszlo Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy. (2019): 316 - 321. 10.5606/ehc.2019.19002 |
| MLA | Sezgin Erdem Aras,SZERB Dr. Imre,Tóth Zoltán,Hangody Laszlo Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy. , 2019, ss.316 - 321. 10.5606/ehc.2019.19002 |
| AMA | Sezgin E,SZERB D,Tóth Z,Hangody L Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy. . 2019; 316 - 321. 10.5606/ehc.2019.19002 |
| Vancouver | Sezgin E,SZERB D,Tóth Z,Hangody L Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy. . 2019; 316 - 321. 10.5606/ehc.2019.19002 |
| IEEE | Sezgin E,SZERB D,Tóth Z,Hangody L "Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy." , ss.316 - 321, 2019. 10.5606/ehc.2019.19002 |
| ISNAD | Sezgin, Erdem Aras vd. "Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy". (2019), 316-321. https://doi.org/10.5606/ehc.2019.19002 |
| APA | Sezgin E, SZERB D, Tóth Z, Hangody L (2019). Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30(3), 316 - 321. 10.5606/ehc.2019.19002 |
| Chicago | Sezgin Erdem Aras,SZERB Dr. Imre,Tóth Zoltán,Hangody Laszlo Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30, no.3 (2019): 316 - 321. 10.5606/ehc.2019.19002 |
| MLA | Sezgin Erdem Aras,SZERB Dr. Imre,Tóth Zoltán,Hangody Laszlo Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.30, no.3, 2019, ss.316 - 321. 10.5606/ehc.2019.19002 |
| AMA | Sezgin E,SZERB D,Tóth Z,Hangody L Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 316 - 321. 10.5606/ehc.2019.19002 |
| Vancouver | Sezgin E,SZERB D,Tóth Z,Hangody L Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 316 - 321. 10.5606/ehc.2019.19002 |
| IEEE | Sezgin E,SZERB D,Tóth Z,Hangody L "Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30, ss.316 - 321, 2019. 10.5606/ehc.2019.19002 |
| ISNAD | Sezgin, Erdem Aras vd. "Treatment of a combined deformity following tibial tubercle ventromedialization with single proximal tibial closing wedge osteotomy". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30/3 (2019), 316-321. https://doi.org/10.5606/ehc.2019.19002 |
