Techniques for correcting major lower limb deformities. Corrections of lower limb deformities - 13/09/25
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Abstract |
Lower limb deformities can be simple when there is only one deformity but can be complex when there are up to four deformities in different planes (angulation, rotation, translation, length). The time frame must be considered because the deformities can be progressive in nature or can recur after the first correction attempt. No single strategy is best for a patient. Several strategies can be proposed to achieve the optimal result. However, strict technical specifications must be followed to achieve the desired correction:
• | Know how to precisely analyze the deformities. |
• | Know which pathology is responsible for the deformity and its progressive nature. |
• | Know how to correct a complex deformity without creating secondary deformities. |
• | Know the potential complications of each technique and how to deal with them. |
• | Know how to present the various options to the family in order to commit to a logical strategy, which will be shared by everyone. This strategy can be one where all the deformities are corrected in a single surgery, or one that combines several successive and more simple techniques. |
The end goal is optimal correction with the fewest inconveniences for the patient. If the technical specifications cannot be followed, one should propose the use of orthotics or refer the patient to a team having more experience with these deformities.
Level of evidence |
>V.
Le texte complet de cet article est disponible en PDF.Keywords : Complex bone deformity, Lower limb, Children, Correction
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