Prevention of neurovascular complications in extension osteotomy of the tibia in poliomyelitis

Extension osteotomy of the proximal tibia was carried out in patients with quadriceps weakness after poliomyelitis in order to obtain a stable knee during the stance phase. Blood flow in the anterior and posterior tibial arteries was measured by Doppler sonography before, during and after operation....

Full description

Saved in:
Bibliographic Details
Published in:International orthopaedics 1991-01, Vol.15 (1), p.29-30
Main Authors: CELEBI, G, KURT, R, LOK, V, SEBIK, A, BARIN, E, ZEREN, B
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cerebrospinal fluid. Meninges. Spinal cord
Female
Humans
Leg - blood supply
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Osteotomy - methods
Poliomyelitis - surgery
Postoperative Complications - prevention & control
Regional Blood Flow
Tibia - surgery
Vascular Diseases - prevention & control
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Extension osteotomy of the proximal tibia was carried out in patients with quadriceps weakness after poliomyelitis in order to obtain a stable knee during the stance phase. Blood flow in the anterior and posterior tibial arteries was measured by Doppler sonography before, during and after operation. It was found that there was a correlation between the degree of extension of the knee after operation and a diminished blood flow. This probably explains some of the neurovascular complications reported in the literature after this procedure. We recommend that blood flow is monitored sonographically in the postoperative phase and that optimum extension is obtained gradually over a period of time in a hinged plaster cast.
ISSN:0341-2695
1432-5195
DOI:10.1007/BF00210529