The Original Method for Planning of Surgeries for Bowlegs Correction by Leonid Solomin in Novel Techniques in Arthritis & Bone Research - Juniper Publishers
The high tibia osteotomy has become widespread for treatment of metaphysical and epi‐metaphyseal deformities of the shank [1‐11].
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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