Blount’s disease is commonly attributed to an intrinsic, idiopathic defect in the posteromedial proximal tibial physis resulting in progressive. Revue de Chirurgie Orthopédique et Traumatologique – Vol. 88 – N° 2 – p. – IRM épiphysaire du tibia et maladie de Blount – EM|consulte. suggested by Blount: Tibia Vara or Osteochondrosis Deformans Tibiae. Subsequent .. Une sCrie de 17 malades atteints de la maladie de Blount ont kt6 .

Author: Tojagis Balrajas
Country: Solomon Islands
Language: English (Spanish)
Genre: Video
Published (Last): 23 March 2007
Pages: 258
PDF File Size: 19.38 Mb
ePub File Size: 10.84 Mb
ISBN: 859-2-65327-462-1
Downloads: 77125
Price: Free* [*Free Regsitration Required]
Uploader: Shak

Log in Sign up. For the older patient that develops mmaladie tibia vara, bracing is not indicated. This minimally invasive method is predictable and well tolerated.

In our series, there were only 3 incidents of screw breakage, all of which occurred near or at the end of treatment with no long-term adverse consequence. In patients with full correction, the average length of treatment from initiation to completion was D ICD – Findings are consistent with Blount disease also known as tibia vara which refers to a local disturbance of growth of the medial proximal tibial epiphyses.

Please consider making a donation now and again in the future. Each of these patients presented before the age of 6 years. It is also associated with obesityshort stature, and early walking. As a consequence, we feel that this is a relatively safe and effective first-line treatment in this age group, especially given the potential complications associated with high tibial osteotomy. It is named after Walter Putnam Blount —an American pediatric orthopedic surgeon.

One of the patients underwent bilateral inward rotational supramalleolar osteotomies at the time of tension-band plate application for tibia vara and went on to complete correction of both deformities. There were no peri-operative complications. None of the 17 patients experienced any immediate perioperative complications.


The reasons for the breakages were not entirely clear, but when reviewed carefully, mqladie appears that the screws were widely divergent and may have impinged on the plate prematurely. The family history was negative. Average follow-up from initial surgery date was 31 months range 8 to 75 months.

Additionally, younger age does not seem to be a reliable predictor of recurrence for this group of patients. Blount’s disease may come back after surgery, especially bloount younger children. Journal of Bone and Joint Surgery, Boston, Case 3 Case 3. Ferriter P, Shapiro F. Unable to process the form. Edit article Share article View revision history. The affected metaphysis tend to be depressed with a medially-oriented beak-like demineralised exostosis.

Clinical Synopsis Toggle Dropdown. We have found that guided growth utilizing tethering plates can be used effectively as first-line treatment in all patients with growth remaining. Introduction Blount’s disease, also known as pathologic tibia vara, has proven to be a difficult condition to manage. Sibert and Bray reported cases in infants in 4 generations and suggested autosomal dominant inheritance with incomplete penetrance.

Skeletal disorders Orthopedic problems Knee injuries and disorders Pediatrics Syndromes affecting bones. Early roentgenographic evaluation of bowlegged children.

Guided growth for tibia vara (Blount’s disease)

This was an IRB approved, single institution, retrospective cohort study. These patients seemed to experience a period of asymmetric growth lateral greater than medial through the physis following removal of hardware which in turn resulted in a recurrence of blouht alignment.


C ] – Bowleg with progressive deformity. Clinically, the child often presents with leg bowing tibia vara with little or no associated pain. Blount disease Dr Matt Skalski and A. We suggest that hemiepiphysiodesis of the proximal tibia with tension-band plating affords the possibility of significant or complete correction for pathologic tibia vara in all pediatric patients having not yet reached skeletal maturity, and without the disadvantages and risks posed by more traditional high tibial osteotomy.

Inclusion in quiz mode: We identified 17 patients with tibia vara 27 limbs who were managed by means of guided growth of the proximal tibia, from age 1.


The posteromedial aspect of the physis is primarily involved, with relative sparing of the lateral tibia and fibula. It is usually bilateral. Interestingly, the third patient had migration of 1 screw through the physis. Femoral deformity in tibia vara. Seventeen patients with 27 affected limbs underwent guided growth with tension-band plates. Clinical and radiographic parameters were followed pre- and postoperatively. All patients were followed in an outpatient setting by a single surgeon.

Brooks W, Gross R. Genu varum in children: Although Bathfield and Malavie found a modest familial aggregation, with bowlegs in 10 of sibs and in 16 of the parents, multifactorial inheritance of the infantile form of Blount disease was espoused.