Monday, October 15, 2018

The Original Method for Planning of Surgeries for Bowlegs Correction-Juniper Publishers



The high tibia osteotomy has become widespread for treatment of metaphysical and epi‐metaphyseal deformities of the shank [111]. However, even its technically correct execution does not guarantee the achieving of “ideal” shape of the legs, accepted in the plastic surgery.
The most widely used classification of the shape of the legs was suggested by AA Artemyev [6]. According to that, were distinguished the “ideal” shape of the legs, O-shape, X-shape and “false curvature” (Figure 1]. In case of “ideal” shape, the legs adjoin in three points located on the medial contours of both limbs. Point I is located at the level of distal metaepiphysis of the femurs, point Il-at the level of the border between the upper third and intermediate third of the diaphysis of the tibias, point Ill-at the level of the distal metaepiphysis of the tibias. The “ideal” shape implies the presence of three spindle-shaped gaps between the medial contours of the legs, bordered by the crotch, adjoining knee joints, soft tissues in the upper thirds of the shins and by the ankles. O-shape of the legs implies that the legs adjoin at point III only, in case of the X-shaped legs at point I, “false curvature” at points I and III. It is possible to determine the type of shape using photographs or long-films.


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