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Children's Orthopaedics

Angular deformity of the ankle with sparing of the distal fibula following meningococcal septicaemia

A CASE SERIES INVOLVING 14 ANKLES IN TEN CHILDREN



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Abstract

Progressive angular deformity of an extremity due to differential physeal arrest is the most common late orthopaedic sequela following meningococcal septicaemia in childhood. A total of ten patients (14 ankles) with distal tibial physeal arrest as a consequence of meningococcal septicaemia have been reviewed. Radiological analysis of their ankles has demonstrated a distinct pattern of deformity. In 13 of 14 cases the distal fibular physis was unaffected and continued distal fibular growth contributed to a varus deformity. We recommend that surgical management should take account of this consistent finding during the correction of these deformities.


Correspondence should be sent to Mr F. P. Monsell; e-mail: fergal.monsell@uhbristol.nhs.uk

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