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A supracondylar osteotomy with acute correction of deformity followed by lengthening corrects both problems.
Typically, it is used to correct severe deformities that are not amenable to other methods of acute correction or fixation.
Acute correction of severe spinal deformities significantly increases the risk of neurologic complications.
The benefits of a gradual correction over acute correction with fusion in our case were twofold.
A safe acute correction would have necessitated unacceptable shortening and possible talectomy.
In contrast to acute correction, hemicallotasis is accomplished with an external fixator.
Similar(17)
Acute corrections from large wedge resections of bone lead to a greater risk of damaging the neurovascular bundle, which is usually surrounded by adherent scar tissue.
This case series suggests that external fixator-assisted acute corrections of deformities associated with distal tibial hypertrophic nonunions can be performed safely and successfully.
The patient would also be allowed early weight bearing after full correction was achieved, as opposed to an acute corrective osteotomy and reapplication of a bridge plate.
In Case 2, an acute rotational correction of 15° was performed, correcting a retroversion malunion (Fig. 6).
It may, however, also be related to the fact that the patients treated with the monolateral device had acute angular correction, whereas the patients treated with the circular frame had gradual correction.
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