Adductor and Iliopsoas Release
Adductor and Iliopsoas Release Tom F. Novacheck DEFINITION Psoas and adductor contractures are most common in cerebral palsy but can occur in any neuromuscular condition owing to disuse, muscular imbalance,…
Syme and Boyd Amputations for Fibular Deficiency
Syme and Boyd Amputations for Fibular Deficiency Anthony Scaduto Robert M. Bernstein DEFINITION Fibular deficiency, previously known as fibular hemimelia, is a longitudinal deficiency of the fibula. It is the…
Multiple Percutaneous Osteotomies and Fassier-Duval Telescoping Nailing of Long Bones in Osteogenesis Imperfecta
Multiple Percutaneous Osteotomies and Fassier-Duval Telescoping Nailing of Long Bones in Osteogenesis Imperfecta Paul W. Esposito François Fassier DEFINITION Children with osteogenesis imperfecta (OI) and syndromes with congenital brittle bones…
Distal Tibial Osteotomy
Distal Tibial Osteotomy J. Eric Gordon DEFINITION Angular deformities of the distal tibia can lead to varus or valgus malalignment of the ankle joint. Rotational deformities of the tibia include…
Guided Growth to Correct Limb Deformity
Guided Growth to Correct Limb Deformity Ryan D. Muchow Kenneth J. Noonan DEFINITION The anatomic axis is the mid-diaphyseal line of a bone. The anatomic angle of the lower extremity…
Limb Lengthening Using the Ilizarov Method or a Monoplanar Fixator
Limb Lengthening Using the Ilizarov Method or a Monoplanar Fixator Roger F. Widmann Emily R. Dodwell Purushottam A. Gholve Arkady Blyakher DEFINITION Limb lengthening is a surgical procedure performed to…
Repair of Congenital Pseudarthrosis of the Tibia with the Williams Rod
Repair of Congenital Pseudarthrosis of the Tibia with the Williams Rod Perry L. Schoenecker Margaret M. Rich DEFINITION Congenital pseudarthrosis of the tibia follows pathologic fracture of a tibia.2, 4…
Excision of Physeal Bar
Excision of Physeal Bar Anthony A. Stans DEFINITION A physeal bar, or partial premature physeal arrest, is an osseous connection that forms across a physis and has the potential to…
Percutaneous Distal Femoral or Proximal Tibial Epiphysiodesis for Leg Length Discrepancy
Percutaneous Distal Femoral or Proximal Tibial Epiphysiodesis for Leg Length Discrepancy Emily R. Dodwell Roger F. Widmann DEFINITION Epiphysiodesis involves manipulation of a physis (growth plate) to cause temporary or…
Surgical Management of Blount Disease
Surgical Management of Blount Disease Richard S. Davidson DEFINITION Blount disease, also known as idiopathic tibia vara and osteochondritis deformans tibiae, is characterized by abnormal growth of the proximal tibia…
