Surgical Margins and Oncological Outcomes of Hemipelvectomies for Bone and Soft Tissue Tumours - A Decade of HUSM Experience

In patients with progressive Blount`s disease early surgical treatment is advised. The recurrence following the surgical treatment of Blount`s disease has been documented. Medial tibial plateau elevation is one of the treatment in severe Blount`s disease. Clinical and radiological assessment of the knee was used for elevation of medial tibial plateau in severe tibia vara. Significant depression and incongruity of the joint surface demonstrated preoperatively may warrant medial tibial plateau elevation in order to improve joint congruity and restoration of a more normal configuration of the articular surface of the proximal end of the tibia. In stage IV or greater, realignment valgus osteotomy combined with medial physeal resection with placement of interposition material to avoid rebridging of the bar is another reasonable treatment options. This option may avoid recurrence and repeated osteotomies. In young patient, medial epiphysiolysis may result in less significant limb length discrepancy and shortening compared to lateral epiphysiodesis and total physeal closure. Tibial Plateau Elevation and Epiphysiolysis In Severe Blount's Disease Ismail Munajat Hospital Universiti Sains Malaysia, Kota Bahru, Malaysia 3-Saturday_OA1 6/25/12 4:23 PM Page 39