ArticleMedicina (Kaunas, Lithuania)2022
Focal Dome Osteotomy for the Treatment of Diaphyseal Malunion of the Lower Extremity.
Article in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 7 citations in OpenAlex.
- Comparative analysis of closed reduction with external fixation versus closed reduction with percutaneous pinning for distal radius fractures.Scientific reports · 2025Article
- Osteotomies: Indications, Imaging Appearance, Surgical Techniques, and Complications.Diagnostics (Basel, Switzerland) · 2025Review
- Outcome of Deformity Correction of Malunited Fracture of the Tibia: An Uncommon Case Report.Journal of orthopaedic case reports · 2025Article
- Focal Dome Osteotomy Combined with Ilizarov Technique for Treating Femoral Multiplanar Deformity.Orthopaedic surgery · 2024Article
- Dome versus single-cut osteotomies for correction of long bone deformities-technical considerations.Scientific reports · 2024Article
- New insights in lower limb reconstruction strategies.Therapeutic advances in musculoskeletal disease · 2023Review
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Authors and funding
1 author at 1 institution in 1 country.
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Abstract
The treatment of malunion of the lower extremity diaphysis is challenging. Diaphyseal osteotomies require extra care to promote bone healing. This may be enhanced through osteotomies, which do not produce bone gaps and allow for compression. The focal dome osteotomy allows for rotation around an axis to correct angular deformity. The production of a successful arcuate or focal dome osteotomy requires a suitable soft tissue host. The deformity analysis is not complex but essential to assess the feasibility of correction and is required for perfect execution of the osteotomy. This tutorial explains the technique for focal dome osteotomy to correct angular deformities of the lower extremities, specifically in the diaphysis. Surgical correction for malunion, infected malunion, and infected mal-nonunion case examples are discussed. With meticulous planning and surgical technique, the focal dome osteotomy is a viable option for correcting diaphyseal malunions with compression techniques that allow a stable construct for early weight-bearing.
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