Ahmed Abdelaziz1*, Nando Ferreira2, Sameeh Elashry1, Mohamed Mosad1 and Saleh Alsaifi3
1Lower Limb Deformity Unit, Al-Razi Orthopaedic Hospital, Kuwait
2Head of Limb Reconstruction Unit, Stellenbosch University, South Africa
3Head of Pediatric and deformity Unit, Al-Razi Orthopaedic Hospital, Kuwait
*Corresponding Author: Ahmed Abdelaziz, Lower Limb Deformity Unit, Al-Razi Orthopaedic Hospital, Kuwait.
Received: March 29, 2020; Published: April 07, 2020
At thirteen-years-old boy who sustained an open physeal injury of the left proximal tibia at four year of age presented to our lower limb deformity clinic complaining from deformity of the left knee and limb length discrepancy. Clinical and radiographic assessment revealed apparent shortening of the left lower limb due to a biplanar deformity of left proximal tibia. The deformity was quantified as a 25° varus and 20° procurvatum deformity. The patient underwent treatment in the form of gradual deformity correction and 20 mm over-lengthening with a TL-Hex circular external fixator, along with complete epiphysiodesis of the proximal tibial and fibular physis. Treatment was completed over-six months including correction and consolidation and he returned to full activity one month after frame removal with 20 mm shoe raise to right lower limb. Normal clinical and radiological alignment of the left lower limb was achieved with good knee and ankle range of motion.
Keywords: Biplanar Tibial Deformity; Gradual Correction; Circular Frame; Truelok Hexapod System
Citation: Ahmed Abdelaziz., et al. “Gradual Correction of Proximal Tibial Biplanar Deformities Using Truelok Hexapod SystemTM". Acta Scientific Orthopaedics 3.5 (2020): 06-09.
Copyright: © 2020 Ahmed Abdelaziz., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.