dc.contributor.author | Ogbemudia, Alfred O. | |
dc.contributor.author | Bafor, Anirejuoritse | |
dc.contributor.author | Ogbemudia, Ehimwenma J. | |
dc.contributor.author | Edomwonyi, Edwin | |
dc.date.accessioned | 2018-06-27T06:41:49Z | |
dc.date.available | 2018-06-27T06:41:49Z | |
dc.date.issued | 2015-04 | |
dc.identifier.citation | Surgical Science, 2015, 6, 162-169 | en_US |
dc.identifier.issn | 2157-9415 | |
dc.identifier.uri | http://dx.doi.org/10.4236/ss.2015.64026 | |
dc.identifier.uri | http://hdl.handle.net/123456789/1641 | |
dc.description.abstract | Background: Blount disease is frequently associated with deformities that may not be adequately
corrected by a single metaphyseal osteotomy. This study evaluated the outcome of a combined
metaphyseal and epiphyseal osteotomy in severe cases. Methods: We prospectively evaluated the
outcome of combining the antero-posterior inverted-U metaphyseal osteotomy with a medial
open-wedge hemi-epiphyseal osteotomy in eighteen patients (27 tibiae) with Stage IV to VI Blount
disease. Results: The average age of patients was 9 years (ranging from 5 to 17). The tibio-femoral
angle improved from 43˚ varus (Range: 34˚ - 78˚) to 2˚ varus (Range: 5˚ valgus to 8˚ varus). The
metaphyseal-diaphyseal angle improved from 36˚ to 8˚ varus. Internal tibial torsion improved
from 39˚ to 2˚. All the patients were able to achieve 110˚ of knee flexion in a year. Conclusion: In
conclusion, the combined metaphyseal and epiphyseal osteotomy satisfactorily corrected tibiofemoral
and metaphyseal-diaphyseal varus and internal tibial torsion without recurrence in patients
with severe Blount disease. Level of Evidence: IV. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Scientific Research | en_US |
dc.subject | Blount Disease | en_US |
dc.subject | Double Osteotomy | en_US |
dc.subject | Tibial Osteotomy | en_US |
dc.subject | Blount Disease | en_US |
dc.title | Combined Antero-Posterior Inverted-U Metaphyseal and Open-Wedge Medial-Epiphyseal Osteotomy for Advanced Blount Disease | en_US |
dc.type | Article | en_US |