Abstract
Proper limb alignment in hypophosphatemic rickets can be obtained using combined acute and gradual correction. Distal femoral valgus and distal tibial varus deformity were corrected with a fixator-assisted plating technique. Simultaneous deformity correction and lengthening were performed using a six-pod frame at the proximal tibia. Maintenance of proper level of serum phosphate (2.5 mg/dl) is recommended during limb lengthening of hypophosphatemic rickets patients. This case illustrates an approach to large complex multiapical and multi-segment bilateral deformity in a patient with metabolic bone disease and pathological bone.
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© 2015 Springer International Publishing Switzerland
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Lee, D.H. (2015). Case 31: Treatment of Complex Deformity of the Lower Extremities in Hypophospatemic Rickets Using a Six-Pod Frame and Fixator Assisted Plating. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18020-5_203
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DOI: https://doi.org/10.1007/978-3-319-18020-5_203
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18019-9
Online ISBN: 978-3-319-18020-5
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