Guided growth for tibia vara (Blount's disease)

Guided growth for tibia vara (Blount's disease)

Blount's disease is commonly attributed to an intrinsic, idiopathic defect in the posteromedial proximal tibial physis resulting in progressive bowing of the leg, intoeing, and lateral knee thrust. Treatment has historically included bracing, physeal stapling, or corrective osteotomy, and was determined primarily by age at presentation. As we feel the pathology is not necessarily age dependent,...

Infantile tibia vara.

Femoral deformity in tibia vara.

BACKGROUND Previous studies have suggested that compensatory valgus deformity of the femur is common in patients with tibia vara, or Blount disease. The availability and routine use of standing long-cassette radiographs of the lower extremities to assess angular deformities has allowed quantitative evaluation of this hypothesis. METHODS The cases of all patients with tibia vara, two years of ...

Observations on the Etiology of Tibia Vara

Varus deformity at the upper end of the tibia was reported by Erlacher (1922) and LUlsdorf (1931), who considered it to be a type of osteochondritis. Blount (1937) presented a personal series of thirt en cases and reviewed fifteen cases from the literature. He called the condition tibia vara and suggested that the term osteochondrosis was more appropriate than osteochondritis. Further reports o...

Natural history of infantile tibia vara.

We have observed the natural history without treatment of 46 limbs in 29 patients with infantile tibia vara and a metaphyseal-diaphyseal angle (MDA) of more than 11 degrees. The femorotibial angle (FTA) and MDA were measured, and Langenskiöld's classification of radiological changes in the proximal medial metaphysis of the tibia was used. In 22 limbs which were not in Langenskiöld stages II to ...