{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T03:24:06Z","timestamp":1774927446744,"version":"3.50.1"},"reference-count":13,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2011,6,1]],"date-time":"2011-06-01T00:00:00Z","timestamp":1306886400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:p> Survivors of infantile meningococcal septicaemia often develop progressive skeletal deformity as a result of physeal damage at many sites, particularly in the lower limb. Distal tibial physeal arrest typically occurs with sparing of the distal fibular physis leading to a rapidly progressive varus deformity. There have been reports of isolated cases of this deformity, but to our knowledge there have been no papers which specifically describe the development of the deformity and the options for treatment. <\/jats:p><jats:p> Surgery to correct this deformity is complex because of the patient\u2019s age, previous scarring and the multiplanar nature of the deformity. The surgical goal is to restore leg-length equality and the mechanical axis at the end of growth. Surgery should be planned and staged throughout growth in order to achieve the best functional results. <\/jats:p><jats:p> We report our experience in six patients (seven ankles) with this deformity, who were managed by corrective osteotomy using a programmable circular fixator. <\/jats:p>","DOI":"10.1302\/0301-620x.93b6.26276","type":"journal-article","created":{"date-parts":[[2011,5,17]],"date-time":"2011-05-17T23:53:26Z","timestamp":1305676406000},"page":"839-843","source":"Crossref","is-referenced-by-count":6,"title":["Distal tibial physeal arrest after meningococcal septicaemia"],"prefix":"10.1302","volume":"93-B","author":[{"given":"F. P.","family":"Monsell","sequence":"first","affiliation":[{"name":"Bristol Royal Hospital for Children, Paul O\u2019Gorman Building, Upper Maudlin Street, Bristol BS2 8BJ, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. R.","family":"Barnes","sequence":"additional","affiliation":[{"name":"Bristol Royal Hospital for Children, Paul O\u2019Gorman Building, Upper Maudlin Street, Bristol BS2 8BJ, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Kirubanandan","sequence":"additional","affiliation":[{"name":"Bristol Royal Hospital for Children, Paul O\u2019Gorman Building, Upper Maudlin Street, Bristol BS2 8BJ, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. M. B.","family":"McBride","sequence":"additional","affiliation":[{"name":"Bristol Royal Hospital for Children, Paul O\u2019Gorman Building, Upper Maudlin Street, Bristol BS2 8BJ, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.131862"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B2.14827"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199010040-00024"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Nogi J. Physeal arrest in purpura fulminans: a report of three cases. J Bone Joint Surg [Am] 1989;71-A:929\u201331.","DOI":"10.2106\/00004623-198971060-00019"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Chao EY, Neluheni EV, Hsu RW, Paley D. Biomechanics of malalignment. 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