In contrast to the frequency of malunited ankle fractures in 7.7 % up to 50 % [8] during childhood especially due to Salter-Harris fractures Type 3–5 [1, 2, 7, 8], malunions and nonunions after fracture of one of the 12 essential foot bones are seen seldomly [9–12]. Therefore exists only little knowl-edge in literature how to correct latter ones. Because techniques how to correct malunited ankle fractures are well known this paper focuses on secondary anatomic reconstructions of foot fractures in children up to an age of 15 years. In all ten presented cases the main operative goal is stressed out to restore normal biomechanical axes by different osteotomies, by lengthening or shortening, by anatomic Lisfranc`s ligament repair, but also, if anyhow possible, by anatomic restauration of the malunited joint related to talus or navicular in order to prevent posttraumatic arthritic pain without sacrifying joint function in a child or young adolescent.

Center of Orthopedics and Traumatology of the University Hospital Carl Gustav Carus at the Technical University of Dresden Germany

Jak korigovat chybný srůst zlomenin nohy a hlezna u dětí?

Literatura