Acute Versus Gradual Correction of Idiopathic Tibia Vara in Children

2009 ◽  
Vol 29 (2) ◽  
pp. 110-114 ◽  
Author(s):  
Julian Gilbody ◽  
Gethin Thomas ◽  
Kevin Ho
Keyword(s):  
Tibia Vara ◽  
Gradual Correction

scholarly journals Deformity Reconstruction Surgery for Blount’s Disease

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 566
Author(s):  
Craig A. Robbins
Keyword(s):  
Early Onset ◽  
Skeletal Maturity ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Growth Modulation ◽  
Tibia Vara ◽  
Radiographic Findings ◽  
Blount’S Disease ◽  
Length Discrepancy ◽  
Gradual Correction

Blount’s disease is an idiopathic developmental abnormality affecting the medial proximal tibia physis resulting in a multi-planar deformity with pronounced tibia varus. A single cause is unknown, and it is currently thought to result from a multifactorial combination of hereditary, mechanical, and developmental factors. Relationships with vitamin D deficiency, early walking, and obesity have been documented. Regardless of the etiology, the clinical and radiographic findings are consistent within the two main groups. Early-onset Blount’s disease is often bilateral and affects children in the first few years of life. Late-onset Blount’s disease is often unilateral and can be sub-categorized as juvenile tibia vara (ages 4–10), and adolescent tibia vara (ages 11 and older). Early-onset Blount’s disease progresses to more severe deformities, including depression of the medial tibial plateau. Additional deformities in both groups include proximal tibial procurvatum, internal tibial torsion, and limb length discrepancy. Compensatory deformities in the distal femur and distal tibia may occur. When non-operative treatment fails the deformities progress through skeletal maturity and can result in pain, gait abnormalities, premature medial compartment knee arthritis, and limb length discrepancy. Surgical options depend on the patient’s age, weight, extent of physeal involvement, severity, and number of deformities. They include growth modulation procedures such as guided growth for gradual correction with hemi-epiphysiodesis and physeal closure to prevent recurrence and equalize limb lengths, physeal bar resection, physeal distraction, osteotomies with acute correction and stabilization, gradual correction with multi-planar dynamic external fixation, and various combinations of all modalities. The goals of surgery are to restore normal joint and limb alignment, equalize limb lengths at skeletal maturity, and prevent recurrence. The purpose of this literature review is to delineate basic concepts and reconstructive surgical treatment strategies for patients with Blount’s disease.

scholarly journals Three Cases of Tibia Vara (Blount's Disease)

1969 ◽  
Vol 19 (1) ◽  
pp. 22-25
Author(s):  
W. Hoshiko ◽  
E. Koyanagi ◽  
K. Oomiya
Keyword(s):  
Tibia Vara ◽  
Blount’S Disease

Recurrence After Surgical Intervention for Infantile Tibia Vara

2019 ◽  
Vol 39 (2) ◽  
pp. 65-70 ◽  
Author(s):  
Lauren E. LaMont ◽  
Amy L. McIntosh ◽  
Chan Hee Jo ◽  
John G. Birch ◽  
Charles E. Johnston
Keyword(s):  
Surgical Intervention ◽  
Tibia Vara

Gradual Correction of Pediatric Equinus Deformity

2022 ◽  
Vol 39 (1) ◽  
pp. 143-156
Author(s):  
Lucian M. Feraru ◽  
Mark E. Solomon
Keyword(s):  
Gradual Correction ◽  
Equinus Deformity

scholarly journals Post-physeal deformity around the ankle treated by acute or gradual correction

2021 ◽  
Vol 7 (2) ◽  
pp. 376-384
Author(s):  
Dr. TK Jeejesh Kumar ◽  
Dr. Jacob Mathew ◽  
Dr. Kumaran Chettiyar K ◽  
Dr. Puneeth K Pai ◽  
Dr. Priyavrata Rajasubramanya
Keyword(s):  
Gradual Correction

Treatment of Late-Onset Tibia Vara Using Afghan Percutaneous Osteotomy and Orthofix External Fixation

2000 ◽  
Vol 20 (5) ◽  
pp. 606-610 ◽  
Author(s):  
Scott L. Smith ◽  
Michael L. Beckish ◽  
Steven C. Winters ◽  
Linda I. Pugh ◽  
Edward W. Bray
Keyword(s):  
External Fixation ◽  
Late Onset ◽  
Tibia Vara

scholarly journals Oblique Proximal Tibial Osteotomy in Children for Correction of Tibia Vara in Pseudoachondroplasia.

2000 ◽  
Vol 49 (2) ◽  
pp. 529-533
Author(s):  
Tomoyuki Sawatari ◽  
Nobuhiro Kaku ◽  
Masashi Kataoka ◽  
Tsutana Fukunaga ◽  
Hiroshi Tsumura ◽  
...  
Keyword(s):  
Tibial Osteotomy ◽  
Tibia Vara ◽  
Proximal Tibial Osteotomy

Recurrence in infantile tibia vara (Blount disease) after high tibia and fibula osteotomy

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Eduard Van Greunen ◽  
Gregory Bodley Firth
Keyword(s):  
Tibia Vara ◽  
Blount Disease
Sign in / Sign up

Export Citation Format

Share Document