Outcome of Hemiepiphyseal Stapling for Late-Onset Tibia Vara

Park, Soo-Sung; Gordon, Joel; Luhmann, Scott J.; Dobbs, Matthew B.; Schoenecker, Perry L.

doi:10.2106/jbjs.c.01409

Cited by 35 publications

(32 citation statements)

References 47 publications

(30 reference statements)

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“…The combination of three deformities in different planes (varus, procurvatum, and internal tibial torsion) results in a complex three-dimensional deformity [2]. Nonoperative treatment is ineffective for late-onset tibia vara [3]. Treatment options include lateral hemi-epiphysiodesis of the proximal tibia, physeal distraction, and tibial osteotomy using internal or external fixation.…”

Section: Introductionmentioning

confidence: 99%

The use of the Taylor spatial frame in adolescent Blount's disease: Is fibular osteotomy necessary?

Eidelman

Bialik

Katzman

2008

Journal of Children's Orthopaedics

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Background The standard treatment of adolescent Blount disease includes proximal tibial osteotomy and osteotomy of the fibula. Some believe that the fibula should also be fixed to prevent migration and subluxation. The purpose of the current study was to examine the results of treatment of patients with adolescent tibia vara treated by tibial osteotomy and Taylor spatial frame (TSF) without fibular osteotomy. Methods Correction of deformities was performed on eight patients (ten tibias) with adolescent Blount disease using TSF. The fibula was not osteotomized in any patient and was not fixed in the last five patients. Results All patients had precise anatomical correction of deformities and no problems related to the fibula occurred during or after correction. Conclusion Based on our experience we believe that placement of the origin at the level of the proximal tibial fibular joint in conjunction with external fixation eliminates the need for fibular osteotomy and the potential morbidity of this procedure in patients with mild to moderate tibia vara.

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Section: Introductionmentioning

confidence: 99%

The use of the Taylor spatial frame in adolescent Blount's disease: Is fibular osteotomy necessary?

Eidelman

Bialik

Katzman

2008

Journal of Children's Orthopaedics

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“…It had been assumed that proximal tibial varus was the only substantial deformity in tibia vara. In reality, tibia vara is often a complex deformity that includes distal femoral deformity, proximal tibial varus and procurvatum, internal tibial torsion, and distal tibial deformity 23,29,32,36,[45][46][47] . These other deformities cannot be ignored when a global strategy is being planned for correction of severe tibia vara.…”

Section: Discussionmentioning

confidence: 99%

Femoral Deformity in Tibia Vara

Gordon

King

Luhmann

et al. 2006

The Journal of Bone and Joint Surgery-American Volume

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“…5 Late-onset Blount's was further divided into adolescent type, occurring after 10 years of age, and juvenile type, occurring between the ages of 4 and 10. 6 While the exact etiology of Blount's is unknown, early walking, obesity, and bone mineral content are thought to con Standing full-length anteroposterior (AP) radiograph of both lower extremities is used to diagnose Blount's disease and to determine the primary sources of medial axis deviation. A treatment plan should be devised based on severity and origination of the deformity in each case.…”

Section: Introductionmentioning

confidence: 99%