Corrective Osteotomy in Obafemi Awolowo University Teaching Hospitals Complex: A 15 Year Review
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background: Corrective osteotomy is performed most often to correct angular or rotational deformities in the lower limbs. Many deformities in growing children have potentials for spontaneous corrections while some will require corrective osteotomy to effect corrections. The aim of this study is to see the common indications for corrective osteotomy in our centre and their common complications. Methods: This is a retrospective study in which clinical information were retrieved from the case notes of patients who had corrective osteotomy at the Obafemi Awolowo University Teaching Hospitals’ Complex over a 15 year period (March 2000 to February 2015). Information on age, the diagnosis, types of deformities, severity and complications of the surgeries were retrieved. Results: One hundred and twenty seven patients, whose case notes were found, were studied. Forty nine were males while 78were females with M: F of 1:1.6. Blount’s disease was the most common indication for corrective osteotomy in our centre being present in 54 (42.9%) patients. Rickets was the second most common indication seen in 36(28.6%) of the patients. Angular deformities from osteoarthritis were the only indication for corrective osteotomy in the middle aged and elderly. The deformities in these patients were often severe. Wound dehiscence was the commonest complication found in 22 (19.0%) of the patients. Conclusion: Blount’s disease was the commonest indication for corrective osteotomy in our centre followed by rickets. The deformities are often severe. Patients with rickets present earlier for correction than patients with Blount’s disease. Knee Osteoarthritis was the main indication for corrective osteotomy in the middle age and elderly.
Authors and Affiliations
Orimolade EA, Asuquo JE, Akinwande IO, Oyagbesan OS, Ikem IC
Keywords
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- EP ID EP249886
- DOI 10.9790/0853-1612024952
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