Using gentle valgus stress, open the osteotomy to the desired and pre-operatively determined width, to provide the correction desired. Pack the area around the Wedges with bone graft harvested from the ipsilateral iliac crest or from the bone bank after mixing with the patient's blood. Pack the areas around the wedges firmly with the bone graft making sure not to disturb the position of the wedges. After evaluating the correction and the stability of the repair, addition fixation can be added. Give the patient an IV injection of Ketorolac and prescribe a second injection of Ketorolac for administration by a visiting nurse at home.
Crutches are to be used until the patient returns for post-operative radiographs the following day.
Patello femoral pain syndrome in young women. I. A clinical analysis of alignment, pain parameters, common symptoms and function activity levels. Oblique osteotomy for the correction of tibial malunion. New procedures of tightening knee collateral ligaments in conjunction with knee realignment osteotomy. A comparison of early and late reconstruction of malunited fractures of the distal end of the radius.