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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):85-91
Common acquired osteoarticular deformity of the inferior limb
Surace A., De Giovanni G., D’Amario F., Bonetti K.
Clinica Ortopedico Traumatologica, Università degli Studi di Milano, Polo Didattico Ospedale San Paolo, Milano
The term deformity means an irreversible alteration of the normal skeletal morphology, while the term deformation means the development of a process that modifies the appearance and the original function of the limb. An alteration of the articular surface, determined by different pathologies and consequence of a trauma, may cause an irregular load compromising the functionality of the limb and causes an alteration of the walking process.
In there cases it is necessary to recover surgically the functioning of the limb maintaining its symmetry and correcting the axial deviation by an osteotomy at the apex of the deformity. When the apex clashes with the articulation, osteotomy is performed distally, as will as a compensatory translation of the mechanical axis deviation due to the osteotomy. Moreover, when the metaphyseal plate is open, the growing cartilage has to be evaluated. The methods to establish the osteotomy can be choosed according to the site and corner of the deformity.