Cosmetic Aspects of the Lower Extremity Dysplastic Viral Deformation Operative Correction
Aim of investigation is elaboration of the lower extremity dysplastic viral deformation treatment unified method, considering cosmetic aspects of operative correction.
Materials and Methods. The clinical and roentgenologic data of 123 patients with a «viral deformation of crus» diagnosis, who have undergone 246 osteotomies of tibia, is investigated. A subcondyle osteotomy of tibia with the Ilizarov’s apparatus application and subsequent dosed correction of deformation is made.
Results. The anatomical alterations, corresponding to a dysplastic process, are revealed in the knee joints in majority of cases even at the lower extremity small axial curvatures, which permits to consider such curvatures not only a cosmetic defect, but the deformations, having the pathologic components.
The following results are received in a process of treatment according to the elaborated method: the average dates of correction were 14.70±3.53 days (from 9 to 22 days, which can be explained by the crus curvature different degree); the average dates of fixation were 32.70±6.85 days (from 19 to 51 days) for the left crus and 34.70±6.98 days (from 21 to 53 days) for the right crus (a fixation duration is stipulated by age and activity of patients); the general dates of treatment in the average were 57.00±11.54 days (from 47 to 93 days), which is significantly lesser the average literary data.
Conclusion. The proposed method of the lower extremity dysplastic viral deformation treatment permits to normalize the lower extremity axes, which is a favorable factor in prophylaxis of the knee joint degenerative diseases. It can be used for removal of cosmetic defects in orthopedic cosmetology due to a low traumatic capacity.
