Abstract
Lengthening and then plating (LATP) was used to decrease the total time needed in external fixation in this patient with complex bilateral mutiaplical oblique plane deformities. A 16 year old girl with rickets was treated with multilevel osteotomies of both femurs and tibias, and deformity correction and lengthening was performed with monolateral external fixators. Plating was performed, and frames were removed before complete bone union. This allowed early removal of frames and protection against refracture.
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References and Suggested Reading
Anglen J, Kyle RF, March JL, Virkus WW, Watters WC III, Keith MW et al (2009) Locking plates for extremity fractures. J Am Acad Orthop Surg 17:466–472
Aronson J (1997) Limb lengthening, skeletal reconstruction and bone transport with the Ilizarov method. J Bone Joint Surg 79A:1243–1258
Bar-On E, Weigl DM, Becker T et al (2008) Treatment of severe early onset Blount’s disease by an intra-articular and a metaphyseal osteotomy using the Taylor Spatial Frame. J Child Orthop 2:457–461
Clark SE, McCarthy JJ, Davidson RS (2009) Treatment of Blount disease: a comparison between the multiaxial correction system and other external fixators. J Pediatr Orthop 29:103–109
Dodgin DA, De Swart RJ, Stefko RM et al (1998) Distal tibial/fibular derotation osteotomy for correction of tibial torsion: review of technique and results in 63 cases. J Pediatr Orthop 18:95–101
Edgerton BC, Mariani EM, Morrey BF (1993) Distal femoral varus osteotomy for painful genu valgum: a five-to-11-year follow-up study. Clin Orthop Relat Res 288:263–269
Feldman DS, Madan SS, Ruchelsman DE et al (2006) Accuracy of correction of tibia vara: acute versus gradual correction. J Pediatr Orthop 26:794–798
Friend L, Widemann RF (2008) Advances in management of limb length discrepancy and lower limb deformity. Curr Opin Pediatr 20:46–51
Gugenheim JJ Jr, Brinker MR (2003) Bone realignment with use of temporary external fixation for distal femoral valgus and varus deformities. J Bone Joint Surg Am 85:1229–1237
Gugenheim JJ, Brinker MR, Oginni LM, Bardu OS, Sharp CA, Davie MWJ, Worsfold M (2004) Knee angles and rickets in Nigerian children. J Pediatr Orthop 24:403–407
Harbechuski R, Fragomen AT, Rozbruch SR (2012) Does lengthening and then plating (LAP) shorten duration of external fixation? Clin Orthop Rel Res 470:1771–1781 (Epub ahead of print November 15, 2011)
Herring JA (1983) Valgus knee deformity: etiology and treatment. J Pediatr Orthop 3:527
Knapp DR, Price CT (1990) Correction of the distal femoral deformity. Clin Orthop Relat Res 255:75–80
Krengel WF III, Staheli LT (1992) Tibial rotational osteotomy for idiopathic torsion. A comparison of the proximal and distal osteotomy levels. Clin Orthop Relat Res 283:285–289
Kubiak EN, Fulkerson E, Strauss E, Egol KA (2006) The evolution of locked plates. J Bone Joint Surg Am 88(Suppl 4):189–200
McCarthy JJ, Ranade A, Davidson RS (2008) Pediatric deformity correction using a multiaxial correction fixator. Clin Orthop Relat Res 466:3011–3017
Paley D (2003) Principles of deformity correction. Springer, New York
Seah KM, Shafi R, Fragomen AT, Rozbruch SR (2011) Distal femoral osteotomy: is internal fixation better than external? Clin Orthop Relat Res 469:2003–2011
Vander Have KV, Herrera J, Kohen R, Karunakar M (2008) The use of locked plating in skeletally immature patients. J Am Acad Orthop Surg 16:436–441
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Mora Herrera, L.G. (2015). Case 33: Multiapical Deformity Correction in Bilateral Femur and Tibia in Rickets. LATP Technique to Decrease the Time of External Fixator. 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_210
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DOI: https://doi.org/10.1007/978-3-319-18020-5_210
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-319-18020-5
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