TY - JOUR
T1 - Blount’s disease
T2 - A retrospective review and recommendations for treatment
AU - Schoenecker, Perry L.
AU - Meade, William C.
AU - Pierron, Robert L.
AU - Sheridan, John J.
AU - Capelli, Ann M.
PY - 1985
Y1 - 1985
N2 - Thirty-two patients treated for Blount’s disease were retrospectively reviewed. The results of treatment were assessed by clinical and radiographic parameters and arbitrarily classified good, fair, or poor. Five patients were definitively treated with braces; five extremities were rated good and one poor. Twelve patients were treated with a proximal tibial osteotomy performed before their fifth birthday. Nineteen extremities were rated good, one fair, and three poor. Fifteen patients had their initial surgical procedure after the fifth birthday. Eight extremities were rated good, six fair, and seven poor. Recurrence of the varus deformity secondary to an unsuspected medial bony physeal bar occurred in four patients. Resection of this bony bridge concomitant with a varus correcting osteotomy may be indicated. For severe deformity in older children, several different salvage procedures were used.
AB - Thirty-two patients treated for Blount’s disease were retrospectively reviewed. The results of treatment were assessed by clinical and radiographic parameters and arbitrarily classified good, fair, or poor. Five patients were definitively treated with braces; five extremities were rated good and one poor. Twelve patients were treated with a proximal tibial osteotomy performed before their fifth birthday. Nineteen extremities were rated good, one fair, and three poor. Fifteen patients had their initial surgical procedure after the fifth birthday. Eight extremities were rated good, six fair, and seven poor. Recurrence of the varus deformity secondary to an unsuspected medial bony physeal bar occurred in four patients. Resection of this bony bridge concomitant with a varus correcting osteotomy may be indicated. For severe deformity in older children, several different salvage procedures were used.
KW - Blount’s disease
KW - Physeal bar
KW - Resection bony bridge
KW - Treatment results
UR - http://www.scopus.com/inward/record.url?scp=0021986586&partnerID=8YFLogxK
U2 - 10.1097/01241398-198503000-00012
DO - 10.1097/01241398-198503000-00012
M3 - Article
C2 - 3988919
AN - SCOPUS:0021986586
SN - 0271-6798
VL - 5
SP - 181
EP - 186
JO - Journal of Pediatric Orthopaedics
JF - Journal of Pediatric Orthopaedics
IS - 2
ER -