{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:18:30Z","timestamp":1777497510661,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"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":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Surgical correction of proximal tibia deformity in small children can be challenging. We present the surgical technique and outcome of proximal tibia osteotomy fixed with small monolateral external fixator in this patient group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 17 cases in eight patients younger than nine years of age were study subjects. A proximal tibia osteotomy was fixed with a small monolateral external fixator with or without cross-pinning. Outcome was evaluated by changes of radiographic parameters such as medial proximal tibia angle (MPTA), metaphyseal diaphyseal angle (MDA) and clinical findings of complications, time interval until weight bearing and fixator removal time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>MPTA improved from a preoperative mean of 73\u00b0 (sd 4\u00b0; 66\u00b0 to 78\u00b0) to an immediate postoperative mean of 90\u00b0 (sd 3\u00b0; 85\u00b0 to 96\u00b0) in varus tibiae, and from 104\u00b0 (sd 1\u00b0; 103\u00b0 to 105\u00b0) to 89\u00b0 (sd 1\u00b0; 88\u00b0 to 89\u00b0) in valgus tibiae. In all, 15 of the 17 cases (88.3 %) achieved postoperative MPTA within the normal range (85\u00b0 to 90\u00b0). MDA improved from a preoperative mean of 19\u00b0 (sd 5\u00b0; 11\u00b0 to 24\u00b0) to an immediate postoperative mean of 0\u00b0 (sd 4\u00b0; -6\u00b0 to 7\u00b0) in varus tibiae, and from -25\u00b0 (sd 2\u00b0; -22\u00b0 to -24\u00b0) to 2\u00b0 (SD 1\u00b0; 1\u00b0 to 3\u00b0) in valgus tibiae. Full weight bearing was possible at mean 1.7 months (0.5 to 3.0). Mean follow-up period was 6.5 years (sd 5.4; 1.0 to 16.0). No complications developed during the follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Proximal tibia osteotomy fixed with small monolateral external fixator provides accurate, safe and efficient correction in the management of coronal plane angular deformity in small children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1302\/1863-2548.15.200187","type":"journal-article","created":{"date-parts":[[2021,4,22]],"date-time":"2021-04-22T09:36:19Z","timestamp":1619084179000},"page":"255-260","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Acute correction of proximal tibial coronal plane deformity in small children using a small monolateral external fixator with or without cross-pinning"],"prefix":"10.1177","volume":"15","author":[{"given":"Chaemoon","family":"Lim","sequence":"first","affiliation":[{"name":"Division of Pediatric Orthopaedics, Seoul National University Children's Hospital, Seoul, Korea"},{"name":"Department of Orthopaedic Surgery, Jeju National University Hospital, Jeju, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang Ho","family":"Shin","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopaedics, Seoul National University Children's Hospital, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Won Joon","family":"Yoo","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopaedics, Seoul National University Children's Hospital, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae-Joon","family":"Cho","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopaedics, Seoul National University Children's Hospital, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"bibr1-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199607000-00002"},{"key":"bibr2-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000052937.71325.a2"},{"key":"bibr3-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199606000-00027"},{"key":"bibr4-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.4172\/2161-0533.1000118"},{"key":"bibr5-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274030-00004"},{"key":"bibr6-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31803433a1"},{"key":"bibr7-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181653ade"},{"key":"bibr8-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199207000-00010"},{"key":"bibr9-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19810901-04"},{"key":"bibr10-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198811000-00018"},{"key":"bibr11-1863-2548.15.200187","unstructured":"No authors listed. References for Korean children's physical development. Korean Pediatric Society, 2017. https:\/\/knhanes.cdc.go.kr\/knhanes\/sub08\/sub08_02.do (date last accessed 31 March 2021)."},{"key":"bibr12-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196446060-00004"},{"key":"bibr13-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31927-1"},{"key":"bibr14-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198264080-00006"},{"key":"bibr15-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200308000-00011"},{"key":"bibr16-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200411000-00005"},{"key":"bibr17-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31823db034"},{"key":"bibr18-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001067"},{"key":"bibr19-1863-2548.15.200187","volume":"5","author":"Aly T","year":"2019","journal-title":"Orthoped Rheumatol"},{"key":"bibr20-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199515020-00021"},{"key":"bibr21-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-014-0552-9"},{"key":"bibr22-1863-2548.15.200187","first-page":"156","volume":"62","author":"Aydo\u011fdu S","year":"1996","journal-title":"Acta Orthop Belg"},{"key":"bibr23-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1007\/s002640000151"},{"key":"bibr24-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1007\/BF00571479"},{"key":"bibr25-1863-2548.15.200187","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199505000-00009"}],"container-title":["Journal of Children's Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1302\/1863-2548.15.200187","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1302\/1863-2548.15.200187","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1302\/1863-2548.15.200187","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:06:32Z","timestamp":1777388792000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1302\/1863-2548.15.200187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1302\/1863-2548.15.200187"],"URL":"https:\/\/doi.org\/10.1302\/1863-2548.15.200187","relation":{},"ISSN":["1863-2521","1863-2548"],"issn-type":[{"value":"1863-2521","type":"print"},{"value":"1863-2548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}