Abstract
Proper limb alignment in hypophosphatemic rickets can be obtained using combined acute and gradual correction. Distal femoral valgus and distal tibial varus deformity were corrected with a fixator-assisted plating technique. Simultaneous deformity correction and lengthening were performed using a six-pod frame at the proximal tibia. Maintenance of proper level of serum phosphate (2.5 mg/dl) is recommended during limb lengthening of hypophosphatemic rickets patients. This case illustrates an approach to large complex multiapical and multi-segment bilateral deformity in a patient with metabolic bone disease and pathological bone.
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References and Suggested Reading
Choi IH, Kim JK, Chung CY, Cho TJ, Lee SH, Suh SW, Whang KS, Park HW, Song KS (2002) Deformity correction of knee and leg lengthening by Ilizarov method in hypophosphatemic rickets: outcomes and significance of serum phosphate level. J Pediatr Orthop 22(5):626–631
Kocaoglu M, Bilen FE, Sen C, Eralp L, Balci HI (2011) Combined technique for the correction of lower-limb deformities resulting from metabolic bone disease. J Bone Joint Surg (Br) 93(1):52–56
Paley D (2002) Principles of deformity correction. Springer, Berlin, Chapter 11
Rozbruch SR (2011) Fixator assisted plating of limb deformities. Oper Tech Orthop 21:174–179
Rozbruch SR, Segal K, Ilizarov S, Fragomen AT, Ilizarov G (2010) Does the Taylor spatial frame accurately correct tibial deformities? Clin Orthop Relat Res 468(5):1352–1361
Seah KT, Shafi R, Fragomen AT, Rozbruch SR (2011) Distal femoral osteotomy: is internal fixation better than external? Clin Orthop Relat Res 469:2003–2011
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© 2015 Springer International Publishing Switzerland
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Lee, D.H. (2015). Case 31: Treatment of Complex Deformity of the Lower Extremities in Hypophospatemic Rickets Using a Six-Pod Frame and Fixator Assisted Plating. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18020-5_203
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DOI: https://doi.org/10.1007/978-3-319-18020-5_203
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18019-9
Online ISBN: 978-3-319-18020-5
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