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2018, Number 4

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Rev Cub Med Mil 2018; 47 (4)

Complications of proximal fibular ostectomy in patients with painful genu varum

Pancorbo SEA, Ceballos MA, Hernández VD, Quesada PJA, Delgado QA, Sánchez VF

Language: Spanish
References: 15
Page: 1-9
PDF size: 113.10 Kb.


ABSTRACT

Introduction: In the surgical procedure of genu varum pain treatment, the osteotomy of the fibula is a common step that accompanies the valgus tibial osteotomy, with a percentage of known complications. The authors of this work began to apply a new approach in the treatment of this condition, with fibular ostectomy, where complications also occur.
Objective: To identify the complications that may appear in the ostectomy of the fibula.
Methods: 116 patients with degenerative changes of the internal compartment of the knee were evaluated; operated by fibular ostectomy, during the period from April 2016 to April 2018. Complications were collected from the moment of surgery, its evolution and treatment, through follow-up by external consultation.
Result: In the obese patients, the greatest number of complications was observed (9), of which 4 related to neuropraxia of the deep branch of the peroneal or fibular nerve, 2 with wound hematomas and one with infection. There were 2 patients with lymphangitis. There were 11 patients with 14 complications (9.4% of those who underwent surgery).
Conclusions: The most important complications were neuropraxia of the superficial and deep branches of the peroneal nerve, the hematoma of the wound and infection.


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