Treatment of infantile tibia vara - 18-year follow-up: A case report

Abstract

It is known today that multiplanar deformity is a part of the disease; varus, antecurvatum and internal rotation of the lower leg. By elevation of the medial plateau varus of the lower and antecurvatum component of deformity can be solved, while internal torsion cannot be solved. This deformity has to be either skillfully neglected, or corrected by an additional osteotomy by the elevation of the medial tibial plateau. Lateral hemiepiphysiodesis serves as extra stabilisator of the achieved result, and it is recommended to be done in combination with surgical elevation of the medial tibial plateau and derotative corrective osteotomy of the tibia.

Severe Infantile Blount’s Disease in Kumasi, Ghana: A Case Report

“…Osteotomy and gradual deformity correction of either infantile or adolescent blount's disease with the use of a circular external fixation offers satisfactory correction without significant complications [18].…”

Blount Disease, Vitamin D deficiency, and Associated Comorbidities: A review and Meta-analysis

“…Fixation methods and osteotomy are effective; other surgical management includes lateral hemiepiphisyodesis and physeal bar resection. However, uniform weight distribution across the knee joint is vital (Vukašinović et al, 2013;Huang et al, 2014). Tibia vara (Blount's disease) is the most common cause of genu varum deformity among adolescents and children worldwide, the uneven stress distribution on foot bones and changes in loading of knee menisci, tibial articular cartilage, and subchondral bone was documented (Özkan et al, 2013).…”