Modified dome shaped proximal tibial osteotomy for treatment of infantile tibia vara

Modified Oblique Proximal Tibial Osteotomy for Deformity Correction of Tibia Vara (Blount Disease)

Background: In Blount’s disease, there is a complex three-dimensional deformity which typically includes varus, internal rotation, and (sometimes) procurvatum. The best way to obtain correction is with simple procedure carried out as high in the tibia as possible to promote rapid union, quick remodeling, and with minimal proximal shaft deformity. Patients and methods: 17 patients with tibia var...

Infantile tibia vara.

Evaluation of treatment of late-onset tibia vara using gradual angulation translation high tibial osteotomy.

Late-onset tibia vara or Blount's disease is the most common cause of pathologic genu varum in children and adolescents. Treatment remains controversial. Many studies in the past have shown that an osteotomy with acute correction is the most appropriate treatment. More recently however, there has been a growing interest, especially in severe cases, in using gradual correction with the Ilizarov ...

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 ...

Serrated W/M osteotomy. Results using a new technique for the correction of infantile tibia vara.

The conventional osteotomies used to treat infantile tibia vara (Blount's disease) may require internal fixation and its subsequent removal. These techniques, which carry the risk of traction injury, and potential problems of stability and consolidation, do not always succeed in correcting the rotational deformity which accompanies the angular deformity. We have used a new surgical approach, th...