Corrective osteotomy for XXXX .

@entity1 @entity175 @entity171 @entity3030 @entity174 @entity4261 @entity79 @entity4263 @entity158 @entity85 @entity1642 @entity893
BACKGROUND: @entity85 resulting from @entity4261 is not uncommon. @entity893 may lead to intractable @entity158 , mechanical overload of the neighboring joints, limitation of motion and function, and dysmorphic appearance. Although @entity4263 has been used to treat @entity85 , the outcome of @entity4263 for @entity79 resulting from @entity4261 remains largely unknown. METHODS: The results after twenty-five corrective osteotomies (twenty-two @entity1 ), performed between 1975 and 1995, in sixteen tibiae, eight femora, and one radius were evaluated. There were thirteen @entity1 and nine @entity1 with a mean age of sixty-seven years. The indication for osteotomy was @entity158 in twenty limbs, recurrent @entity1642 in three, and limitation of function in two. A variety of osteotomies and fixation methods were used. Two @entity1 underwent simultaneous total hip arthroplasty and proximal femoral osteotomy. RESULTS: Twenty-three of twenty-five osteotomies healed with an average time to union of six months. Both nonunions were in @entity1 who had been managed with intramedullary fixation. The time to union was significantly shorter in metaphyseal osteotomies fixed with plates than in diaphyseal osteotomies (p < 0.04). There was a substantial improvement in the deformities. Satisfaction was rated excellent or good by fourteen @entity1 , fair by six, and poor by two. Complications included a pin-track infection in two @entity1 , @entity3030 in one, and loss of fixation following external fixation in one. Disease activity, as measured by serum alkaline phosphatase level, and medical treatment with @entity175 and/or @entity171 did not have a significant impact on time to union. CONCLUSIONS: Corrective osteotomy for the treatment of severe @entity85 can be challenging and yet rewarding. A higher prevalence of complications was observed following intramedullary nailing and external fixation. @entity174 seems to be particularly protracted in diaphyseal osteotomies.
