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THE TELESCOPING V OSTEOTOMY: A GENERAL METHOD FOR CORRECTING ANGULAR AND ROTATIONAL DISALINEMENTS

THE TELESCOPING V OSTEOTOMY: A GENERAL METHOD FOR CORRECTING ANGULAR AND ROTATIONAL DISALINEMENTS Abstract Stable impingement of fracture fragments often occurs spontaneously. Maintenance of position is seldom a problem, and union is usually prompt. This principle of stable apposition has been generally applied in the treatment of fractures. In most cases the surgeon strives for such apposition in performing osteotomy. The pointed telescoping type of osteotomy is not new, but I feel that the principle of inherent stability deserves a more general application through the simple method of this type of osteotomy than is often observed. While most surgeons have utilized the principle, the method receives scant attention (Steindler1; Campbell2). When the principle is properly applied, slight but precise corrections are easily maintained, and great modification of alinement may be attained without resort to a complicated procedure or to metallic fixation. Up to late in the nineteenth century osteoclasis was the only safe means of correcting deformities of the long bones. During References 1. Steindler, A.: Orthopedic Operations , Springfield Ill., Charles C Thomas, Publisher, 1940. 2. Campbell, W. C.: Operative Orthopedics , St. Louis, C. V. Mosby Company, 1939. 3. Macewen, W.: Clinical Lecture on Antiseptic Osteotomy , Lancet 1:449, 1878 4. Pauwel, F.: Pauwel's Subtrochanteric Wedge Osteotomy in Treatment of Pseudarthrosis of Neck: Case (J. H. Sickmann) , Deutsche Ztschr. f. Chir. 229:336-342, 1930.Crossref 5. Haas, S. L.: Longitudinal Osteotomy , J. A. M. A. 92:1656-1658 ( (May 18) ) 1929.Crossref 6. Schumm, H. C.: The Schanz Osteotomy for Fractures of the Neck of the Femur , J. Bone & Joint Surg. 19:955-963, 1937. 7. Klapp, R.: Demonstrationen aus der praktischen Chirurgie... Anspitzende Osteotomie , Arch. f. klin. Chir. 177:688-694, 1933. 8. Young, C. S.: Operation for Correction of Hammer-Toe and Claw-Toe , J. Bone & Joint Surg. 20:715-719, 1938. 9. Higgs, S. L.: "Hammer-Toe," M. Press 131:473-475, 1931. 10. Osgood, R. B.: A Method of Osteotomy of the Lower End of the Femur in Cases of Permanent Flexion of the Knee Joint , Am. J. Orthop. Surg. 11:336-346, 1913. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

THE TELESCOPING V OSTEOTOMY: A GENERAL METHOD FOR CORRECTING ANGULAR AND ROTATIONAL DISALINEMENTS

THOMPSON, VERNON P.
Archives of Surgery , Volume 46 (5) – May 1, 1943
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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1943 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1943.01220110188031
Publisher site
See Article on Publisher Site

Abstract

Abstract Stable impingement of fracture fragments often occurs spontaneously. Maintenance of position is seldom a problem, and union is usually prompt. This principle of stable apposition has been generally applied in the treatment of fractures. In most cases the surgeon strives for such apposition in performing osteotomy. The pointed telescoping type of osteotomy is not new, but I feel that the principle of inherent stability deserves a more general application through the simple method of this type of osteotomy than is often observed. While most surgeons have utilized the principle, the method receives scant attention (Steindler1; Campbell2). When the principle is properly applied, slight but precise corrections are easily maintained, and great modification of alinement may be attained without resort to a complicated procedure or to metallic fixation. Up to late in the nineteenth century osteoclasis was the only safe means of correcting deformities of the long bones. During References 1. Steindler, A.: Orthopedic Operations , Springfield Ill., Charles C Thomas, Publisher, 1940. 2. Campbell, W. C.: Operative Orthopedics , St. Louis, C. V. Mosby Company, 1939. 3. Macewen, W.: Clinical Lecture on Antiseptic Osteotomy , Lancet 1:449, 1878 4. Pauwel, F.: Pauwel's Subtrochanteric Wedge Osteotomy in Treatment of Pseudarthrosis of Neck: Case (J. H. Sickmann) , Deutsche Ztschr. f. Chir. 229:336-342, 1930.Crossref 5. Haas, S. L.: Longitudinal Osteotomy , J. A. M. A. 92:1656-1658 ( (May 18) ) 1929.Crossref 6. Schumm, H. C.: The Schanz Osteotomy for Fractures of the Neck of the Femur , J. Bone & Joint Surg. 19:955-963, 1937. 7. Klapp, R.: Demonstrationen aus der praktischen Chirurgie... Anspitzende Osteotomie , Arch. f. klin. Chir. 177:688-694, 1933. 8. Young, C. S.: Operation for Correction of Hammer-Toe and Claw-Toe , J. Bone & Joint Surg. 20:715-719, 1938. 9. Higgs, S. L.: "Hammer-Toe," M. Press 131:473-475, 1931. 10. Osgood, R. B.: A Method of Osteotomy of the Lower End of the Femur in Cases of Permanent Flexion of the Knee Joint , Am. J. Orthop. Surg. 11:336-346, 1913.

Journal

Archives of Surgery – American Medical Association

Published: May 1, 1943

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