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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
BONE AND JOINT DEFORMITIES - SCIENTIFIC PAPERS 100° CONGRESS OF THE PIEMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPAEDICS AND TRAUMATOLOGY (S.P.L.L.O.T.) - Pavia, June 20-21, 2003
Minerva Ortopedica e Traumatologica 2003 April;54(2):49-51
Treatment of long bone deformities
Mora R., Pedrotti L., Bertani B., Tuvo G.
Clinica Ortopedica e Traumatologica, Università degli Studi, Polo Universitario “Città di Pavia”, Pavia
Treatment of long bone deformities with external fixation should be planned following 3 fundamental steps: clinical and radiographic assessment, careful indication in decision-making, and plan of the surgical procedure.
Clinical and radiographic assessments, integrated by some recent tests such as the “malalignment test” and the individuation of “center of rotation of angulation” (CORA) allow a correct identification of the deformity.
The decision-making depends on the type and entity of the deformity and on the basis of the available method of fixation.
For the planning of the surgical procedure some general rules should be followed concerning the type and site of osteotomy, type of mounting (if a circular external fixation has been choosed), priorities in treatments (in complex deformities) and timing of correction.
By following these steps, that should be regarded as the basis of the treatment, the best results are obtained and the risk of complication is reduced at the lowest rate.