Document Detail


Valgus ankle secondary to acquired fibular pseudoarthrosis in children. Long-term results of the Langenskiöld operation.
MedLine Citation:
PMID:  9361915     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nine cases of acquired absence of the fibular shaft were studied to determine the growth contribution of the distal fibula; in 6 cases the absence was caused by osteomyelitis and in 3 cases by trauma. The average valgus and external rotational deformities were 15.2 degrees and 10 degrees, respectively. In 3 of 7 cases surgically treated with Langenskiöld operation or supramalleolar corrective osteotomy, the valgus deformity recurred during the postoperative growth period. The speculated causes of gradual valgus deformity are the loss of physiologic thrust from the proximal to distal fibula, the tethering effect of contracted soft tissue on distal fibula and early physeal closure of the lateral part of the distal tibia due to continuous, uneven axial overloading. The Langenskiöld operation was found effective for the stability of ankle joint in the initial period, but could not prevent the postoperative revascularization of the ankle. However, it is strongly recommended that any types of prophylactic surgery should be carried out before the development of an epiphyseal deformity of distal tibia, and to prevent secondary osteoarthritis of the ankle joint.
Authors:
M S Moon; S K Rhee; H D Lee; I T Ju; S H Nam
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Bulletin (Hospital for Joint Diseases (New York, N.Y.))     Volume:  56     ISSN:  0018-5647     ISO Abbreviation:  Bull Hosp Jt Dis     Publication Date:  1997  
Date Detail:
Created Date:  1997-12-04     Completed Date:  1997-12-04     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  9215948     Medline TA:  Bull Hosp Jt Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  149-53     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, St. Mary's Hospital, Catholic University of Korea, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Ankle Joint / abnormalities*,  radiography
Child
Child, Preschool
Female
Fibula / injuries*
Follow-Up Studies
Fractures, Bone / complications*,  radiography,  surgery
Humans
Infant
Male
Osteomyelitis / complications*,  radiography,  surgery
Osteotomy
Pseudarthrosis / complications*
Range of Motion, Articular
Recurrence
Rotation
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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