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Usefulness of tibia counter rotator (TCR) for treatment of tibial internal torsion in children

Korean Journal of Pediatrics 2007;50(1):79-84.
Published online January 15, 2007.
Usefulness of tibia counter rotator (TCR) for treatment of tibial internal torsion in children
Dong Ho Song1, Yoon Lee1, Baik-Lin Eun1, Kwang Jae Lee2, Sang Kuk Kang2, Sung Gin Vaq3, Sung You3, Jung Bin Shin3, Bong Ok Kim4
1Department of Pediatrics, Korea University College of Medicine
2Department of Rehabilitation Medicine, Chungnam National University College of Medicine
3Department of Rehabilitation Medicine, National Health Insurance Corporation Ilsan Hospital
4Department of Rehabilitation Medicine, Chungnam National University College of Medicine
경골 내염전 환아에서 경비골 역회전 교정장치(TCR)의 치료 효과
송동호1, 이윤1, 은백린1, 이광재2, 강상국2, 박성진3, 유성3, 신정빈3, 김봉옥4
1고려대학교 의과대학 소아과학교실
2충남대학교 의과대학 재활의학교실
3국민건강보험공단 일산병원 재활의학과
4충남대학교 의과대학 재활의학교실
Correspondence: 
Dong Ho Song, Email: dh7974@paran.com
Abstract
Purpose
: Tibial internal torsion is prevalent in East Asian countries such as Korea and Japan, where sitting on the floor is common behavior. Tibial internal torsion or excessive lateral tibial torsion may cause esthetical, functional, or psychological problems and also may induce degenerative arthritis in older age. The aim of this study is to evaluate the therapeutic effect of Tibial Counter Rotator (TCR) in patients with tibial internal torsion. Method : One hundred forty nine children (274 limbs) with tibial internal torsion participated in this study. Transmalleolar angle were measured with gravity goniometer. When tibial internal torsion was detected, TCR was applied at least for 3 hours a day during sleep. The patient's progress was followed monthly and transmalleolar angle was reevaluated by the same examiner.
Results
: Transmalleolar angle was significantly increased in patients with tibial internal torsion during TCR application (P<0.001).
Conclusion
: TCR can be one of the effective methods for correcting tibial internal torsion in children under 12 years old of age.
Key Words: Tibia , Torsion , Tibia counter rotator , Child


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