{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:12:01Z","timestamp":1777497121386,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T00:00:00Z","timestamp":1501545600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To review the outcomes of tibial derotational osteotomies (TDOs) as a function of complication and revision surgery rates comparing a cohort of children with myelodysplasia to a cohort with cerebral palsy (CP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A chart review was completed on TDOs performed in a tertiary referral centre on patients with myelodysplasia or CP between 1985 and 2013 in patients aged &gt; 5 years with &gt; 2 years follow-up. Charts were reviewed for demographics, direction\/degree of derotation, complications and need for re-derotation. Two-sample T-tests were used to compare the characteristics of the two groups. Two-tailed chi-square tests were used to compare complications. Generalised linear logit models were used to identify independent risk factors for complication and re-rotation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 153 patients (217 limbs) were included. Average follow-up was 7.83 years. Overall complication incidence was 10.14%, including removal of hardware for any reason, with a 4.61% major complication incidence (fracture, deep infection, hardware failure). After adjusting for gender and age, the risk of complication was not statistically significantly different between groups (p = 0.42) nor was requiring re-derotation (p = 0.09). The probability of requiring re-derotation was 31.9% less likely per year increase in age at index surgery (p = 0.005).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>With meticulous operative technique, TDO in children with neuromuscular disorders is a safe and effective treatment for tibial torsion, with an acceptable overall and major complication rate. The risk of re-operation decreases significantly in both groups with increasing age. The association between age at initial surgery and need for re-derotation should help guide the treatment of children with tibial torsion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1302\/1863-2548.11.170037","type":"journal-article","created":{"date-parts":[[2017,7,17]],"date-time":"2017-07-17T04:37:58Z","timestamp":1500266278000},"page":"243-248","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Tibial derotational osteotomies in two neuromuscular populations: Comparing cerebral palsy with myelomeningocele"],"prefix":"10.1177","volume":"11","author":[{"given":"R. M.","family":"Thompson","sequence":"first","affiliation":[{"name":"Orthopaedic Institute for Children\/University of California Los Angeles, Los Angeles, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Ihnow","sequence":"additional","affiliation":[{"name":"Northwestern University, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Dias","sequence":"additional","affiliation":[{"name":"Rehabilitation Institute of Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Swaroop","sequence":"additional","affiliation":[{"name":"Anne and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,8,1]]},"reference":[{"key":"bibr1-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466020-00008"},{"key":"bibr2-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200309000-00004"},{"key":"bibr3-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567010-00006"},{"key":"bibr4-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B3.8496230"},{"key":"bibr5-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199807000-00003"},{"key":"bibr6-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000173"},{"key":"bibr7-1863-2548.11.170037","volume-title":"Gait analysis in cerebral palsy.","author":"Gage","year":"1991"},{"key":"bibr8-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1016\/S0966-6362(02)00058-9"},{"key":"bibr9-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2006.12.003"},{"key":"bibr10-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199801000-00016"},{"key":"bibr11-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200009000-00014"},{"key":"bibr12-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-012-0384-4"},{"key":"bibr13-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199801000-00018"},{"key":"bibr14-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B8.14479"},{"key":"bibr15-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.65B2.6826623"},{"key":"bibr16-1863-2548.11.170037","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199210000-00042"},{"key":"bibr17-1863-2548.11.170037","first-page":"84","volume":"25","author":"Ryan DD","year":"2005","journal-title":"J Pediatr Orthop"},{"key":"bibr18-1863-2548.11.170037","unstructured":"Martin SL, Samartzis D., Gerson A., Sturm P.F. Tibial Rotational Osteotomies in Patients with Myelodysplasia: Outcomes and Risk Factors. 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