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Limb Reconstruction

Deformity Correction

OVERVIEW

Deformity correction is a specialized branch of orthopaedic surgery that focuses on rectifying structural abnormalities in bones and joints. These deformities can arise from various causes, including congenital conditions, injuries, or progressive conditions. The primary goal of deformity correction is to restore normal alignment, function, and aesthetics to enhance the patient's overall quality of life.

Types of deformity correction:

  1. Congenital and developmental deformities: These are present at birth and may affect the structure and function of bones or joints. Common examples include clubfoot, Blount’s disease, valgus knees and congenital short limbs.
  2. Acquired deformities: These develop over time due to factors such as trauma, arthritis, or improper healing of fractures.
  3. Degenerative deformities: Resulting from ageing or wear-and-tear, these deformities often involve the breakdown of joint structures, leading to malalignment and impaired function.
  4. Post-traumatic deformities: Occur after fractures or injuries, where the healing process may result in misalignment or irregular bone growth from childhood growth plate injuries.

When is deformity correction indicated?

Deformity correction is indicated when the deformity adversely affects the patient's daily life, causes pain, limits mobility, or poses a risk of further complications. Dr du Plessis carefully assesses each case, considering the severity of the deformity, its impact on functionality, and the patient's overall health.

TREATMENT
  • Conservative treatment: Non-surgical options may include physical therapy, bracing, or medications to manage symptoms, especially in less severe cases. Dr du Plessis customizes conservative treatment plans based on individual patient needs.
  • Surgical intervention: In cases where deformities cannot be adequately addressed through conservative means, surgical correction may be recommended. Dr du Plessis employs advanced surgical techniques, including osteotomy, ring fixators, joint replacement, or fusion procedures, depending on the nature and location of the deformity.

FAQ

Is deformity correction a one-size-fits-all approach?
No, Dr du Plessis recognizes the uniqueness and deformity of each patient. His approach is highly personalized, considering the specific characteristics of the deformity, the patient's health, and their individual needs to develop a customized treatment plan.
Will deformity correction completely eliminate pain and restore full function?
While deformity correction aims to alleviate pain and restore function, individual outcomes may vary. Dr du Plessis discusses realistic expectations with each patient, and post-operative rehabilitation plays a crucial role in achieving optimal results.
Is deformity correction suitable for all age groups?
Yes, deformity correction can be considered for individuals of all age groups. Dr du Plessis assesses the patient's overall health and tailors the treatment plan to accommodate age-related factors and specific needs.

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    PUBLICATIONS

    Assessment of the Reliability and Reproducibility of the Langenskiöld
    Classification in Blount’s Disease

    DU PLESSIS J, Firth GB, Robertson A. Assessment of the reliability and reproducibility of the Langenskiöld classification in Blount's disease. Journal of Pediatric orthopedics. Part B. 2019 Nov 12.

     

    The Impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg

    Foster M, Du Plessis J, Jansen van Vuuren M, Jingo M, Pietrzak JR. The impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg. SA Orthopaedic Journal. 2022;21(2):70-5.

    Short term results following two stage revision for periprosthetic joint infection

    DU PLESSIS, J et al. Short-term results following two-stage revision for periprosthetic joint infection. South African Orthopaedic Journal, [S.l.], v. 19, n. 2, p. 64-69, may 2020

     

    Comparison of visual estimations of distal radius fracture radiographic parameters between different levels of orthopaedic doctors.

    Naidoo V, Milner B, du Plessis J. SA Orthop J. 2025;24(1):26-31. http://dx.doi.org/10.17159/2309-8309/2025/v24n1a4