200 results match your criteria Blount Disease


Blount Disease and Obstructive Sleep Apnea: An Under-recognized Association?

J Pediatr Orthop 2020 May 19. Epub 2020 May 19.

Departments of Orthopedic Surgery.

Background: Obesity is strongly associated with both Blount disease and obstructive sleep apnea (OSA). Obesity increases risks for anesthetic and postoperative complications, and OSA can further exacerbate these risks. Since children with Blount disease might have both conditions, we sought to determine the perioperative complications and the prevalence of OSA among these children. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001591DOI Listing

Do Different Tibial Osteotomy Techniques Affect Sagittal Alignment in Children with Blount Disease?

Orthop Surg 2020 Jun 16;12(3):770-775. Epub 2020 Apr 16.

Department of Biochemistry,, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Objective: To determine the radiographic outcomes following dome or wedge-shaped proximal tibial osteotomy in the management of infantile Blount disease with a particular interest in sagittal alignment of the knee joint.

Method: Medical records of patients with Langenskiöld stage 2 Blount disease (aged ≤5 years) who underwent surgical correction between January 2005 and November 2019 were retrospectively identified. Patients with metabolic bone disease, bone tumors, prior traumatic fractures, congenital anomalies, inadequate plain films, and incomplete medical documents were excluded. Read More

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http://dx.doi.org/10.1111/os.12674DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307263PMC

Aetiology of nutritional rickets in rural Bangladeshi children.

Bone 2020 Jul 7;136:115357. Epub 2020 Apr 7.

MRC Human Nutrition Research, Elsie Widdowson Laboratory, Cambridge, UK.

Objectives: A high prevalence of rickets of unknown aetiology has been reported in Chakaria, Bangladesh. Classically, rickets is caused by vitamin D deficiency but increasing evidence from Africa and Asia points towards other nutritional deficiencies or excessive exposure to some metals. The aim of this study was to investigate the aetiology of rickets in rural Bangladeshi children. Read More

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http://dx.doi.org/10.1016/j.bone.2020.115357DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262584PMC

Reply.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499019889902

Department of Orthopaedic Surgery (NOCERAL), University Malaya Medical Center, Kuala Lumpur, Malaysia.

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http://dx.doi.org/10.1177/2309499019889902DOI Listing

Letters about published papers.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499019889749

Department of Orthopaedic Traumatology, Tianjin Hospital, Tianjin, China.

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http://dx.doi.org/10.1177/2309499019889749DOI Listing

Hemiepiphyseodesis for Juvenile and Adolescent Tibia Vara Utilizing Percutaneous Transphyseal Screws.

J Pediatr Orthop 2020 Jan;40(1):17-22

Shriners Hospital for Children, Springfield, MA.

Background: In juvenile and adolescent tibia vara patients with sufficient growth remaining, implant-controlled hemiepiphyseodesis, or guided growth, can be used to correct deformity. Recent reports have described hardware failure of certain hemiepiphyseodesis implants in overweight patients with tibia vara. We describe our experience using transphyseal screws to correct deformity in this patient population. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001067DOI Listing
January 2020

Musculoskeletal Pain, Physical Function, and Quality of Life After Bariatric Surgery.

Pediatrics 2019 12 19;144(6). Epub 2019 Nov 19.

Nationwide Children's Hospital, Columbus, Ohio.

Objectives: To evaluate the longitudinal effects of metabolic and bariatric surgery (MBS) on the prevalence of musculoskeletal and lower extremity (LE) pain, physical function, and health-related quality of life.

Methods: The Teen Longitudinal Assessment of Bariatric Surgery study (NCT00474318) prospectively collected data on 242 adolescents undergoing MBS at 5 centers over a 3-year follow-up. Joint pain and physical function outcomes were assessed by using the Health Assessment Questionnaire Disability Index, Impact of Weight on Quality of Life - Kids, and the Short Form 36 Health Survey. Read More

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http://dx.doi.org/10.1542/peds.2019-1399DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889948PMC
December 2019

Gradual correction of proximal tibia deformity for Blount disease in adolescent and young adults.

J Orthop Surg (Hong Kong) 2019 Sep-Dec;27(3):2309499019873987

Department of Orthopaedic Surgery (NOCERAL), University Malaya Medical Center, Kuala Lumpur, Malaysia.

Purpose: Management of Blount disease in adolescents and young adults is complex and associated with high risk of morbidities. Gradual correction with external fixator can minimize soft tissue injury and allow subsequent adjustment in degree of correction. This study investigates the surgical outcome and complication rate of gradual correction of neglected Blount disease through single-level extra-articular corticotomy. Read More

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http://dx.doi.org/10.1177/2309499019873987DOI Listing
September 2019
1 Read

Comment on: Slipped capital femoral epiphysis and Blount's disease as indicators for early metabolic surgical intervention.

Surg Obes Relat Dis 2019 10 19;15(10):1842-1843. Epub 2019 Aug 19.

Department of Orthopaedic Surgery, Children's Hospital Colorado, Aurora, Colorado.

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http://dx.doi.org/10.1016/j.soard.2019.08.006DOI Listing
October 2019
1 Read

Slipped capital femoral epiphysis and Blount disease as indicators for early metabolic surgical intervention.

Surg Obes Relat Dis 2019 10 2;15(10):1836-1841. Epub 2019 Jul 2.

Stanford University, Stanford, California; Lucile Packard Children's Hospital, Palo Alto, California.

Background: Slipped capital femoral epiphysis (SCFE) and Blount disease are strongly associated with pediatric obesity, yet they have only recently been identified as indications for consideration of metabolic and bariatric surgery (MBS).

Objectives: To describe the relationships between pediatric obesity, MBS, SCFE, and Blount disease.

Setting: Nationwide database. Read More

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http://dx.doi.org/10.1016/j.soard.2019.06.024DOI Listing
October 2019
1 Read

Langenskiöld Classification for Blount Disease: Is It Reliable?

Indian J Orthop 2019 Sep-Oct;53(5):662-664

Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, Izmir, Turkey.

Backgrounds: Blount disease (BD) is a developmental disease which medial part of the proximal tibial physis resulting genu varum. Plain radiographs are necessary for diagnosis. For this purpose, Langenskiöld classification is used. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_679_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699207PMC
September 2019

Idiopathic Genu Valgum and Its Association With Obesity in Children and Adolescents.

J Pediatr Orthop 2019 Aug;39(7):347-352

Shriners Hospitals for Children.

Background: Obesity as a cause of lower extremity deformity in children has been well established. This deformity is most often seen as tibia vara, however, at our institution we have observed more obese children and adolescents over age 7 years with excessive or progressive idiopathic genu valgum. Our hypothesis is that children with idiopathic genu valgum have high rates of obesity which impact the severity of their disease. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000971DOI Listing
August 2019
2 Reads

Medial Metaphyseal Slope as a Predictor of Recurrence in Blount Disease.

Orthop Surg 2019 Jun;11(3):474-480

Department of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Objective: This study was aimed to find the radiographic parameter predicting recurrence of stage 2 Blount's disease.

Method: We retrospectively reviewed radiographs of 82 legs from 49 patients diagnosed with stage 2 Blount's disease by Langenskiöld classification who had failed brace treatment and underwent valgus osteotomy between 1998 to 2016. Age ranged from 26 to 47 months. Read More

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http://dx.doi.org/10.1111/os.12491DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6595116PMC
June 2019
5 Reads

Same-stage total knee arthroplasty and osteotomy for osteoarthritis with extra-articular deformity. Part I: Tibial osteotomy, prospective study of 26 cases.

Orthop Traumatol Surg Res 2019 10 14;105(6):1047-1054. Epub 2019 Jun 14.

Hôpital Pitié-Salpêtrière, 47, boulevard de l'hôpital, 75013 Paris, France; Université Pierre et Marie-Curie, Paris VI, 75013 Paris, France.

Background: In patients with advanced knee osteoarthritis and extra-articular knee deformity (EKD), ligament balance may be difficult to achieve during total knee arthroplasty (TKA). Treatment options include two-stage surgery with the first stage involving correction of the EKD and same-stage TKA and tibial osteotomy (1S-TKA-TO). The objective of this study was to assess outcomes in 26 patients managed with 1S-TKA-TO. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.04.010DOI Listing
October 2019
8 Reads

Radiography, CT, and MRI of Hip and Lower Limb Disorders in Children and Adolescents.

Radiographics 2019 May-Jun;39(3):779-794

From the Division of Musculoskeletal Radiology, Laboratório Delboni Auriemo, DASA, São Paulo, Brazil (M.S.S., F.N.C., C.H.L., A.Y.A.); and Department of Diagnostic Imaging, Federal University of São Paulo (Departamento de Diagnóstico por Imagem, Universidade Federal de São Paulo), Napoleão de Barros 800, 04024-002 São Paulo, SP, Brazil (A.R.C.F., F.N.C., A.Y.A.).

Infants and children are vulnerable to congenital and developmental hip and lower extremity disorders. These disorders have diverse causes in pediatric patients, and owing to potential related complications that can lead to degenerative disease in adulthood, an accurate diagnosis is essential. A common disease is developmental dysplasia of the hip, which affects nearly 1% of newborns. Read More

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http://dx.doi.org/10.1148/rg.2019180101DOI Listing
March 2020
6 Reads

A comparative evaluation of tibial metaphyseal-diaphyseal angle changes between physiologic bowing and Blount disease.

Medicine (Baltimore) 2019 Apr;98(17):e15349

Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

The purpose of this study was to estimate the rate of spontaneous improvement in tibial metaphyseal-diaphyseal angle (TMDA) in physiologic bowing in comparison to that in Blount disease and to provide reference values of TMDA for monitoring patients with highly suspected to have Blount disease.We retrospectively reviewed patients with physiologic bowing meeting the following criteria:(1) TMDA greater than 9° before 36 months of age at initial evaluation;(2) two or more standing long bone radiographs available; and(3) follow-up conducted up to resolution of deformity.Patients with Blount disease had(1) more than 2 standing long bone radiographs obtained before 36 months of age and(2) underwent no treatment during the period in which these images were obtained. Read More

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http://dx.doi.org/10.1097/MD.0000000000015349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831111PMC
April 2019
8 Reads

Tension Band Plate (TBP)-guided Hemiepiphysiodesis in Blount Disease: 10-Year Single-center Experience With a Systematic Review of Literature.

J Pediatr Orthop 2020 Feb;40(2):e138-e143

Department of Orthopedic Surgery.

Background: Primary treatment for Blount disease has changed in the last decade from osteotomies or staples to tension band plate (TBP)-guided hemiepiphysiodesis. However, implant-related issues have been frequently reported with Blount cases. The purpose of our study is to evaluate the surgical failure rates of TBP in Blount disease and characterize predictors for failure. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001393DOI Listing
February 2020
5 Reads

Gradual Deformity Correction in Blount Disease.

J Pediatr Orthop 2019 May/Jun;39(5):257-262

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC.

Background: Blount disease is a disorder of the posteromedial proximal tibial physis which causes a progressive varus, procurvatum, and internal rotation deformity of the tibia. Untreated, it can cause significant limb malalignment. The goal of this study is to evaluate the results of correction of Blount disease using types of external fixation. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000920DOI Listing
June 2019
14 Reads

New Single-stage Double Osteotomy for Late-presenting Infantile Tibia Vara: A Comprehensive Approach.

J Pediatr Orthop 2019 May/Jun;39(5):247-256

The Princess Elizabeth Medical Centre, Port of Spain, Trinidad and Tobago.

Background: Successful surgical treatment of late-presenting infantile tibia vara (ITV) patient requires the correction of oblique deformities. The purpose of this study was to report on a new comprehensive approach to correct and prevent recurrence of these deformities with a single procedure.

Methods: Medical records of 23 consecutive children (7 to 18 y) with advanced ITV (29 knees) were retrospectively reviewed after a mean of 7. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000926DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498283PMC
June 2019
6 Reads

Risk factors for failure of temporary hemiepiphysiodesis in Blount disease: a systematic review.

J Pediatr Orthop B 2020 Jan;29(1):65-72

Department of Orthopedics, University of California San Francisco, Benioff Children's Hospital of Oakland, Oakland, California, USA.

There is limited information regarding the use of temporary hemiepiphysiodesis for Blount disease. We performed a systematic review of patients treated for Blount disease using either extraperiosteal staples or plates to identify characteristics affecting clinical outcome, including the need for unplanned procedures. A total of 53 patients (63 bone segments) underwent temporary hemiepiphysiodesis at a mean age of 8. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000603DOI Listing
January 2020
4 Reads

Percutaneous low-energy osteotomy in treatment of pathological coronal knee deformities in pediatrics.

J Pediatr Orthop B 2020 Jan;29(1):73-80

Department of Orthopaedic Surgery, Ain Shams University, Cairo, Egypt.

The aim of this study was to assess the safety and efficacy of percutaneous low-energy osteotomy and casting in treatment of pathological coronal knee deformities in children equal or younger than 6 years. A prospective nonrandomized case series study was conducted. A total of 62 (109 limbs) patients with pathological coronal knee deformities were treated by percutaneous low-energy osteotomy and casting and observed over 3-10 years. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000569DOI Listing
January 2020
10 Reads

The Role of Taylor Spatial Frame in the Treatment of Blount Disease.

Folia Med (Plovdiv) 2018 Jun;60(2):208-215

Pediatric Orthopaedics, Iaso Children's Hospital, Athens, Greece.

Background: Alteration of the posteromedial part of the proximal tibia is the main characteristic of Blount's disease and if left untreated, leg alignment and normal development of the lower limbs may be compromised.

Aim: To report treatment outcomes in children with Blount's disease using the Taylor Spatial Frame (TSF).

Materials And Methods: From January 2007 to December 2014, 16 young children (24 tibia) with a mean age of 7. Read More

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http://content.sciendo.com/view/journals/folmed/60/2/article
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http://dx.doi.org/10.1515/folmed-2017-0082DOI Listing
June 2018
29 Reads

Blount's disease successfully treated with intraepiphyseal osteotomy with elevation of the medial plateau of the tibia-a case report with 65 years' follow-up.

Acta Orthop 2018 Dec 17;89(6):699-701. Epub 2018 Oct 17.

b Department of Paediatric Orthopaedics , Zagreb Children's Hospital , Zagreb , Croatia.

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http://dx.doi.org/10.1080/17453674.2018.1516179DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300735PMC
December 2018
8 Reads

Opening Wedge Osteotomy for the Correction of Adolescent Tibia Vara.

Iowa Orthop J 2018 ;38:141-146

University of Alabama.

Background: Tibia vara, or Blount's disease, is a pathologic angular deformity of upper tibial physis causing a bow leg deformity. Adolescent Blount's disease may be unilateral or bilateral and is diagnosed during or just before the adolescent growth spurt. In addition to predisposing genetic factors, biomechanical overload of the proximal tibial physis causes asymmetric growth leading to a varus deformity. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047391PMC
December 2018
29 Reads

Treatment failures and complications in patients with Blount disease treated with temporary hemiepiphysiodesis: a critical systematic literature review.

J Pediatr Orthop B 2018 Nov;27(6):522-529

Department of Orthopaedics, University Medical Center Hamburg-Eppendorf.

This systematic review sums up the state of knowledge about complications and reasons for failure when children with Blount disease are treated with temporary hemiepiphysiodesis. Twelve studies meet the inclusion criteria. The main reported obstacles were under correction and the poor predictability of the amount of correction that was obtainable. Read More

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http://Insights.ovid.com/crossref?an=01202412-201811000-0000
Publisher Site
http://dx.doi.org/10.1097/BPB.0000000000000523DOI Listing
November 2018
51 Reads

Blount disease.

Authors:
Marc Janoyer

Orthop Traumatol Surg Res 2019 02 23;105(1S):S111-S121. Epub 2018 Feb 23.

Service de chirurgie infantile, CHU de Martinique, Maison de la femme de la mère et de l'enfant, boîte postale 632, 97261 Fort-de-France cedex, Martinique. Electronic address:

Blount disease is an asymmetrical disorder of proximal tibial growth that produces a three-dimensional deformity. Tibia vara is the main component of the deformity. Blount disease exists as two clinical variants, infantile or early-onset, and adolescent or late-onset, defined based on whether the first manifestations develop before or after 10 years of age. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.01.009DOI Listing
February 2019
77 Reads

Update on treatment of adolescent Blount disease.

Curr Opin Pediatr 2018 02;30(1):71-77

Advanced Bone Reconstruction Surgery, Hospital San Juan de Dios y Complejo Hospitalario de Navarra, Pamplona, Spain.

Purpose Of Review: Treatments available to correct adolescent Blount disease deformities differ in terms of features, advantages, and disadvantages. Each is indicated, therefore, for different scenarios of severity, physeal condition, and maturity. The purpose of this review is to update basic concepts, surgical treatments, and controversies concerning this disorder. Read More

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http://dx.doi.org/10.1097/MOP.0000000000000569DOI Listing
February 2018
37 Reads

Biological Response Following Inlay Arthroplasty of the Knee: Cartilage Flow Over the Implant.

Cartilage 2018 04 18;9(2):156-160. Epub 2017 Dec 18.

2 Department of Orthopaedics and Traumatology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Objective Inlay arthroplasty (IA) has seen growing interest as a new primary arthroplasty intervention for patients that need to transition from biology to joint replacement. The purpose of this study was to investigate the biological response to this procedure. Design Patients presenting with symptomatic mono- or bicompartmental arthrosis and varus malalignment underwent IA and concurrent medial open wedge high tibial osteotomy (HTO). Read More

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http://dx.doi.org/10.1177/1947603517746723DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871130PMC
April 2018
6 Reads

[Functional results of open wedge osteotomies in lower limb angular deformities in teenagers].

Acta Ortop Mex 2017 May-Jun;31(3):141-144

Shriners Hospital for Children-Mexico. Av. del Imán Núm. 257, Col. Pedregal de Santa Úrsula, CP 04600, Deleg. Coyoacán, Ciudad de México. México.

Objective: The aim of this study was to evaluate the functional and radiographic results of adolescent patients with angular deformities of the pelvic limbs treated with an open wedge osteotomy system.

Material And Methods: Observational, prospective, analytical and cross-sectional study of patients with angular deformity of the pelvic limbs treated with an open wedge osteotomy. We made a radiographic evaluation of the femorotibial angle, MAD angle, lower limb discrepancy, and pre- and postoperative degrees of the rotational center of deformity (CORA), as well as a telephone survey of the postoperative functional evaluation IKDC 2000. Read More

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April 2019
8 Reads

Management of adolescent tibia vara using Taylor spatial frame.

Authors:
M A Meselhy

Acta Orthop Belg 2016 Dec;82(4):745-753

Purpose: Adolescent tibia vara is a multiplanar deformity that can lead to progressive deformity, altered gait, unequal leg lengths, and premature knee arthritis if uncorrected. The purpose of the current study is to report our experience in management of adolescent tibia vara using Taylor Spatial Frame (TSF).

Materials And Methods: A prospective study of eleven adolescent tibia vara patients managed by proximal tibial osteotomy gradual deformity correction using TSF. Read More

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December 2016
17 Reads

Open Wedge High Tibial Osteotomy with Distal Tubercle Osteotomy Lessens Change in Patellar Position.

Biomed Res Int 2017 18;2017:4636809. Epub 2017 Jul 18.

Division of Orthopaedic Surgery, Severance Children's Hospital, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea.

The purpose of this study was to investigate the change in patellar position after open wedge high tibial osteotomy (OWHTO) with distal tubercle osteotomy (DTO), comparing outcomes of conventional OWHTO in young adults with proximal tibia varus deformity but no arthritic manifestations. Thirty-three patients (mean age, 31.8 years) subjected to OWHTO/DTO were matched with 30 patients (mean age, 33. Read More

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http://dx.doi.org/10.1155/2017/4636809DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5540386PMC
April 2018
37 Reads

Treatment of Infantile Blount Disease: An Update.

J Pediatr Orthop 2017 Sep;37 Suppl 2:S26-S31

Department of Orthopaedics, Rutgers New Jersey Medical School, Newark, NJ.

Although the core principles of managing infantile Blount disease generally remain unchanged, treatment modalities have evolved over the years. Consensus has yet to be reached regarding the efficacy of bracing. Children with Blount disease commonly have advanced bone age, which may impact the timing and magnitude of (over) correction of angular deformity. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001027DOI Listing
September 2017
11 Reads

Simultaneous bilateral correction of genu varum with Smart frame.

J Orthop Surg (Hong Kong) 2017 May-Aug;25(2):2309499017713915

1 Department of Orthopaedics and Traumatology, Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.

Purpose: The aim of this study is to evaluate clinical and radiological results of simultaneous bilateral correction of genu varum with Smart frame.

Methods: Between 2011 and 2015, a total of 25 patients (10 females, 15 males) who had bilateral genu varum deformity were operated bilaterally with tibial and fibular osteotomy in the same session, using Smart frame. The mean follow-up period was 28. Read More

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http://dx.doi.org/10.1177/2309499017713915DOI Listing
February 2018
22 Reads

Management of bow legs in children: A primary care protocol.

J Fam Pract 2017 May;66(5):E1-E6

Akron Children's Hospital, Ohio, USA.

Objective: To reduce unnecessary orthopedic referrals by developing a protocol for managing physiologic bow legs in the primary care environment through the use of a noninvasive technique that simultaneously tracks normal varus progression and screens for potential pathologic bowing requiring an orthopedic referral.

Methods: Retrospective study of 155 patients with physiologic genu varum and 10 with infantile Blount`s disease. We used fingerbreadth measurements to document progression or resolution of bow legs. Read More

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May 2017
60 Reads

Evaluation of the external fixator TrueLok Hexapod System for tibial deformity correction in children.

Orthop Traumatol Surg Res 2017 09 17;103(5):761-764. Epub 2017 Apr 17.

Orthopédie pédiatrique, hôpital d'enfants de la Timone, Aix-Marseille université, 264, rue Saint-Pierre, 13005 Marseille, France.

Background: Tibial deformities are common in paediatric orthopaedic practice. Correcting multiplanar tibial deformities associated with lower limb length discrepancy can be challenging. Hexapod external fixation with gradual correction has been proven effective in this situation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568173011
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http://dx.doi.org/10.1016/j.otsr.2017.03.015DOI Listing
September 2017
33 Reads

Recurrence After Surgical Intervention for Infantile Tibia Vara: Assessment of a New Modified Classification.

J Pediatr Orthop 2019 Feb;39(2):65-70

Cook Children's Hospital, Fort Worth, TX.

Background: To propose a modified classification of infantile tibia vara based on the morphology of the metaphyseal/epiphyseal tibial slope that better correlates with treatment outcomes than the traditional Langenskiold classification.

Methods: We performed a retrospective review of 82 patients and 115 limbs that underwent surgery for infantile tibia vara over a 22-year period (1990 to 2012) at a single institution. A modified Langenskiold classification was applied to all patients preoperatively and the outcomes were assessed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000933DOI Listing
February 2019
4 Reads

Spectrum of paediatric rheumatic diseases in Nigeria.

Pediatr Rheumatol Online J 2017 Jan 31;15(1). Epub 2017 Jan 31.

Department of Medicine, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.

Background: Paediatric rheumatology service in Sub-Sahara African is virtually not available as there is a shortage of paediatric rheumatologists and other rheumatology health professionals. We aim to describe the clinical spectrum and the frequencies of paediatric rheumatic diseases (PRDs) in Lagos State University Teaching Hospital (LASUTH), Lagos, Nigeria.

Methods: This is a retrospective review of patients with PRDs seen over a five year period (March 2010 to February 2016) at the rheumatology clinic and children ward of LASUTH. Read More

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http://dx.doi.org/10.1186/s12969-017-0139-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5282742PMC
January 2017
41 Reads

Chronic lateral epiphyseal separation of the proximal tibia causes late-onset tibia vara.

J Pediatr Orthop B 2018 Jan;27(1):31-34

Departments of Orthopaedic Surgery.

An adolescent obese boy showed late-onset unilateral tibia vara associated with physeal separation (slipped epiphysis) of the lateral proximal tibia and physeal widening of the lateral distal femur. These affected physes showed normal signal intensities by MRI. He was treated with lateral hemiepiphysiodesis of the left proximal tibia and the distal femur using two parallel eight-Plates, and varus deformity rapidly improved postoperatively without recurrence. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000430DOI Listing
January 2018
5 Reads

Guided growth for tibia vara (Blount's disease).

Medicine (Baltimore) 2016 Oct;95(41):e4951

University of Utah School of Medicine Department of Orthopaedics, Salt Lake City, UT.

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, we have elected to use the technique of guided growth using a lateral tension band plate to correct limb alignment as a first-line treatment in all patients presenting to our clinic as long as they had growth remaining and no evidence of a physeal bar. Read More

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http://dx.doi.org/10.1097/MD.0000000000004951DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5072935PMC
October 2016
21 Reads

Osteotomy for deformities in blount disease: A systematic review.

J Orthop 2016 Sep 21;13(3):207-9. Epub 2015 Mar 21.

Department of Orthopaedy and Traumatology, Faculty of Medicine, University of Indonesia, Jakarta Pusat 10430, Indonesia.

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http://dx.doi.org/10.1016/j.jor.2015.03.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925742PMC
September 2016
5 Reads

Solid screw insertion for tension band plates: a surgical technique tip.

J Child Orthop 2016 Aug 16;10(4):307-11. Epub 2016 Jun 16.

Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD, 21215, USA.

Purpose: Growth modulation with tension band plates (TBPs) and cannulated screws is the current mainstay of treatment for pediatric lower extremity angular deformities. Solid screws have been used as an alternative to cannulated screws to decrease the risk of screw failure, particularly in obese children. The downside of solid screws is the decrease in precision of placement. Read More

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http://dx.doi.org/10.1007/s11832-016-0748-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4940243PMC
August 2016
6 Reads

Vitamin D Status in Blount Disease.

J Pediatr Orthop 2016 Jul-Aug;36(5):e59-62

*Department of Orthopaedics, Charlotte Maxeke Johannesburg Academic HospitalDepartments of †Orthopaedic Surgery‡Paediatrics, Metabolic Bone Disease Clinic, Chris Hani Baragwanath Academic Hospital§Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Introduction: Blount disease can be defined as idiopathic proximal tibial vara. Several etiologies including the mechanical theory have been described. Obesity is the only causative factor proven to be associated with Blount disease. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000607DOI Listing
April 2017
19 Reads
1.430 Impact Factor

W/M serrated osteotomy for infantile Blount's disease in Ghana: Short-term results.

Niger J Clin Pract 2016 Jul-Aug;19(4):443-8

Department of Orthopaedic Surgery, Research School Caphri, Maastricht University Medical Centre, 6202 AZ, Maastricht, The Netherlands.

Purpose: The W/M serrated high tibial osteotomy is a not frequently described surgical technique for simultaneously correcting the varus and torsional deformity in patients with Blount's disease. Without the need for internal fixation, this surgical treatment is well suited for developing countries. This study describes the short-term results of the bilateral and unilateral W/M serrated osteotomy in patients with infantile Blount's disease. Read More

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http://dx.doi.org/10.4103/1119-3077.183305DOI Listing
February 2018
4 Reads

Blount's disease: a rickets mimicker.

BMJ Case Rep 2016 May 13;2016. Epub 2016 May 13.

Department of Medicine, Midnapore Medical College and Hospital, Midnapore, West Bengal, India.

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http://dx.doi.org/10.1136/bcr-2016-215682DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4885452PMC
May 2016
12 Reads

The aetiology of rickets-like lower limb deformities in Malawian children.

Osteoporos Int 2016 07 8;27(7):2367-2372. Epub 2016 Apr 8.

MRC Human Nutrition Research, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge, UK.

Unlabelled: Debilitating rickets-like lower limb deformities are common in children throughout the world, particularly in Malawi, Africa where the causes are unknown. We have identified that Blount disease and calcium deficiency rickets are the likely causes of these deformities and propose calcium supplementation as a potential treatment of Malawian rickets.

Introduction: Surgical correction of rickets-like lower limb deformities is the most common paediatric operation performed at Beit Cure Orthopaedic Hospital, Malawi. Read More

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http://dx.doi.org/10.1007/s00198-016-3541-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4901102PMC
July 2016
4 Reads

[WHAT IS THE RISK FOR CHILDHOOD OBESITY?].

Rev Prat 2015 Dec;65(10):1275-7

The complications of obesity may be observed during childhood. They include multiple and varied anomalies that are found in all major organ systems. These abnormalities occur in the more or less long term. Read More

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December 2015
6 Reads

Complete Closing Wedge Osteotomy for Correction of Blount Disease (Tibia Vara): A Technique.

Am J Orthop (Belle Mead NJ) 2016 Jan;45(1):16-8

Department of Orthopaedics, Pennslvania State University College of Medicine, Hershey, PA.

Treatment of Blount disease (tibia vara) can be daunting in adolescents because of their obesity. The goals in performing osteotomy for Blount disease are to correct the deformity, restore joint alignment, preserve leg length, and prevent recurrent deformity and other complications, such as neurovascular injury, nonunion, and infection. In this article, we report on our treatment of 9 limbs in 8 patients (age range, 13-17 years) with Blount disease. Read More

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January 2016
18 Reads

[Orthopedic Problems in Overweight and Obese Children].

Klin Padiatr 2016 Mar 23;228(2):55-61. Epub 2015 Dec 23.

Kinderkrankenhaus Altona, Kinderorthopädie, Hamburg.

Overweight and obesity in children and adolescents is a growing problem with an increasing number of patients presenting with comorbidities to pediatricians and orthopedic surgeons. This overview summarizes the most common orthopedic problems in overweight children and obesity and highlights the treatment options in addition to weight reduction and physiotherapy leaded activation. In early infancy a persitent genu varum may be seen as a sign of Blount disease. Read More

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http://dx.doi.org/10.1055/s-0035-1565214DOI Listing
March 2016
6 Reads

Guided Growth Implant Failure is a Result of Cyclic Fatigue: Explant Analysis With Scanning Electron Microscopy.

J Pediatr Orthop 2017 Jan;37(1):e37-e42

*Material Science Program, University of Wisconsin-Madison †Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison School of Medicine & Public Health, Madison, WI.

Background: Guided growth is often used to correct limb deformity and yet implant screw failure in modular systems has been reported. There have been no reports of plate failure and we do not know the exact mode of failure when screws do break.

Methods: We report the first published case of a fractured plate in a modular plate and screw construct that was used to correct Blount disease in a child through guided growth. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000661DOI Listing
January 2017
11 Reads

A modified Puddu technique for the treatment of adolescent mild to moderate tibia vara.

J Pediatr Orthop B 2016 Jan;25(1):37-42

Department of Orthopaedic Surgery, Damanhur National Medical Institute, Damanhur, Egypt.

The aim of this work was to evaluate the results of a modified 'subphyseal' Puddu technique for the treatment of selected cases of the adolescent tibia vara. Twenty-five legs in 18 patients with adolescent tibia vara between January 2008 and February 2012 were included. The mean value of angular correction was 22. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000233DOI Listing
January 2016
8 Reads