Relapsed infantile Blount's disease treated by hemiplateau elevation using the Ilizarov frame.

We have treated seven children with relapsed infantile Blount's disease by elevation of the hemiplateau using the Ilizarov frame. Three boys and four girls with a mean age of 10.5 years were reviewed at a mean of 29 months after surgery. All had improved considerably and were pleased with the results. The improvements in radiological measurements were statistically significant (p < 0.001). Three-dimensional CT reconstruction was useful for planning surgery. There were no major complications. The advantages of this technique are that in addition to elevation of the hemiplateau, rotational deformities and limb-length discrepancies may be addressed.

[1]  C. Smith,et al.  Late‐Onset Tibia Vara: A Comparative Analysis , 1984, Journal of pediatric orthopedics.

[2]  E. Riska,et al.  TIBIA VARA (OSTEOCHONDROSIS DEFORMANS TIBIAE): A SURVEY OF SEVENTY-ONE CASES. , 1964, The Journal of bone and joint surgery. American volume.

[3]  P. Schoenecker,et al.  Elevation of the medical plateau of the tibia in the treatment of Blount disease. , 1992, The Journal of bone and joint surgery. American volume.

[4]  W. B. Greene,et al.  Infantile tibia vara. , 1993, Instructional course lectures.

[5]  E. M. Bateson.  Non-rachitic Bow Leg and Knock-knee Deformities in Young Jamaican Children* , 1966 .

[6]  G. Macewen,et al.  Treatment of genu recurvatum by proximal tibial closing-wedge/anterior displacement osteotomy. , 1983, Clinical orthopaedics and related research.

[7]  F. Shapiro,et al.  Infantile Tibia Vara: Factors Affecting Outcome Following Proximal Tibial Osteotomy , 1987, Journal of pediatric orthopedics.

[8]  J. Pinkowski,et al.  Complications in proximal tibial osteotomies in children with presentation of technique. , 1995, Journal of pediatric orthopedics.

[9]  K. Yasuda,et al.  Transepiphyseal Plate Osteotomy for Severe Tibia Vara in Children: Follow‐up Study of Four Cases , 1986, Journal of pediatric orthopedics.

[10]  P. Schoenecker,et al.  Blount's disease: a retrospective review and recommendations for treatment. , 1985, Journal of pediatric orthopedics.

[11]  G. Kandzierski,et al.  Double‐Elevating Osteotomy of Tibiae in the Treatment of Severe Cases of Blount's Disease , 1989, Journal of pediatric orthopedics.

[12]  B. Prasad,et al.  Experiences with dome shaped osteotomy of upper tibia for multiplane correction. , 1973, Clinical Orthopaedics and Related Research.

[13]  C. Moseley,et al.  A straight line graph for leg length discrepancies. , 1977, Clinical orthopaedics and related research.

[14]  R. Jones,et al.  Blount's disease after skeletal maturity. , 1982, The Journal of bone and joint surgery. American volume.

[15]  J. Grayhack,et al.  Management of late-onset tibia vara in the obese patient by using circular external fixation. , 1997, Journal of pediatric orthopedics.