Zed Osteotomy with Trapezoidal Resection in Internal Rotations of the Tibia and Secondary Static Arthrosis of the Knee

  • G. Brunelli
  • F. Brunelli
  • B. Battiston
  • P. A. Guizzi
Conference paper


Internal rotation of the tibia is a frequent malformation. A little degree of internal rotation in newborns is considered normal but disappears in the first years of life to be replaced by a very moderate external rotation. Internal rotation at birth is often more severe than originally thought, or derotation does not take place, and in adults internal rotation can persist to varying extents (Fig. 1). Until some years ago this deformity was disregarded, notwithstanding several publications about it [1-9] and its importance in causing static and dynamic alterations of the knee [1-3]. Tibial internal rotation has to be considered as being equivalent to club foot and is often associated with varum of the tibia, especially in congenital but less often in rachitic deformities [10-16].


Internal Rotation External Rotation Medial Collateral Ligament High Tibial Osteotomy Club Foot 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • G. Brunelli
    • 1
  • F. Brunelli
    • 1
  • B. Battiston
    • 1
  • P. A. Guizzi
    • 1
  1. 1.Brescia University Medical School, Spedali CiviliBresciaItaly

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