Fizyel bar oluþumuna baðlý ayak bileði varus deformitesinin tedavisi: Olgu sunumu

Kýrýk sekeli sonrasý oluþan fizyel barýn neden olduðu ayak bileði deformitelerinin tedavisi karmaþýktýr. Her hasta, deformite ve bar konumunun þiddetine göre ayrý ayrý tedavi edilmelidir. Biz distal tibial epifizde geçirilmiþ travmaya baðlý meydana gelen varus deformitesi ve bar oluþumu olan 11 yaþýndaki erkek hastanýn bar rezeksiyon tekniði ile baþarýlý tedavisini sunduk. Tibia distal açýk kama osteotomi, fibula kapalý kama osteotomi, bar rezeksiyonu ve otojenik yað dokusu interpozisyonu uygulandýðýmýz hasta herhangi bir komplikasyon olmaksýzýn dördüncü yýlýný doldurdu. Bar rezek-siyon tekniðinin ciddi ayak bileði deformitesinde bile olumlu sonuçlar verdiðini düþünüyoruz.

Treatment of ankle varus deformity due to physeal bar formation: A case report

Treatment of ankle deformities caused by the physeal bar after a fracture sequel is complicated. Each patient should be treated individually depending on of the severity of the deformity and bar location. We presented a case report of a successful treatment of an 11-year-old male patient with progressive varus deformity and bar formation due to trauma in the distal tibial physis. Tibia distal open wedge osteotomy, fibula closed wedge osteotomy, bar resection, and autogenic adipose tissue interposition were performed. The patient is at 4 year follow-up without any complication. We think that bar resection technique provides favorable results even in severe ankle deformity.