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Archivio di Ortopedia e Reumatologia

, Volume 119, Issue 1, pp 17–18 | Cite as

Vizi torsionali dell’arto inferiore e patologia femoro-rotulea. Come studiarli? Quando e come correggerli?

  • G. Laurà
Article

Tibial and femoral torsion and patellofemoral syndrome. Notes on deformity characterization and surgical correction

Abstract

Although it has been suggested that torsion, either of the tibia or the femur, is one of the mechanisms that are responsible for patellofemoral instability or pain syndrome, the association is not confirmed. However, we must always consider this issue when planning a surgical procedure. A clinical examination to determine femoral and tibial torsion usually allows to diagnose the characteristics of the deformity, but computerised transverse tomography (CT) is the gold standard to perform accurate measurements. Between 1990 and 2002, 23 knees with external tibial torsion associated with genu varum were operated in our department by tibiofibular osteotomy, usually with a correction of 10° - and no more of 15° - of lateral torsion. Results were favorable, without complications, but the pros and cons of surgery in congenital axial malalignments must be carefully weighted up because the outcome isn’t always predictable and procedures are often hard for the patient.

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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • G. Laurà
    • 1
  1. 1.V Divisione di Ortopedia e TraumatologiaIstituto ortopedico G. PiniMilanoItaly

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