Rotational deformities of the long bones can be corrected with rotationally guided growth during the growth phase

摘要

Background and purpose — Coronal and sagittal plane long bone deformities can be corrected with guided growth, whereas transverse plane rotational deformities require osteotomy and internal or external fixation. We investigated whether rotational changes can be introduced with the plating technique.Methods — 45 rabbits (6 weeks old) were divided into 3 groups. The unoperated right tibia was used as control. In groups 1 and 3, two plates were placed obliquely to the long axis and in different directions. In group 2, a sham operation was performed with screws. Animals in groups 1 and 2 were followed for 4 weeks. In group 3 the implants were removed 4 weeks after the operation to observe rebound effect, and the animals were followed for another 4 weeks. The tibial torsion was assessed on computed tomography (CT). External rotation was accepted as a negative value.Results — In group 1, mean torsion was ?20° (SD 7.9) in the right tibia and ?2.9° (SD 7.2) in the left tibia (p 0.001). In group 2, mean torsion ...