Comprehensive Treatment of Late-Onset Tibia Vara

Gordon, Joel; Heidenreich, Fred P; CARPENTER, CHRIS J.; Kelly-Hahn, Jill; Schoenecker, Perry L.

doi:10.2106/00004623-200507000-00019

Cited by 22 publications

(47 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This results in normalization of weightbearing forces on the tibial condyles. 2,4,[9][10][11] This study suggests that our hypothesis is true and supports the recommendation that to maximize a patient's surgical outcome satisfaction score, the surgeon should aim at achieving a postoperative FTA in the range of 0 to 5 degrees, and an MDA range of À 5 to +5 degrees.…”

Section: Discussionsupporting

confidence: 69%

Outcome Analysis of Surgery for Blount Disease

Jones¹,

Gill²,

John³

et al. 2009

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 69%

Outcome Analysis of Surgery for Blount Disease

Jones¹,

Gill²,

John³

et al. 2009

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Infantile tibia vara has been associated with overgrowth of the medial condyle of the femur, resulting in a valgus deformity of the distal part of the femur 13,23,29,30,[33][34][35] . Late-onset tibia vara has been associated with both varus and valgus deformity of the distal part of the femur 13,29,33,35,36 .…”

mentioning

confidence: 99%

Femoral Deformity in Tibia Vara

Gordon

King

Luhmann

et al. 2006

The Journal of Bone & Joint Surgery

Self Cite

View full text Add to dashboard Cite

Patients with infantile tibia vara most commonly had normal alignment of the distal parts of the femora; substantial valgus deformity was not observed. Distal femoral varus constituted a substantial portion of the genu varum in children with late-onset disease. When correction of late-onset tibia vara is planned, the surgeon should be aware of the possibility that distal femoral varus is a substantial component of the deformity.

show abstract

“…The long-term effect of the varus is to potentiate the development of degenerative arthritis of the knee 11-14 . Nonoperative treatment is ineffective for late-onset tibia vara 15 . Proximal tibial valgus osteotomy is the mainstay of treatment 2,8,[16][17][18][19][20][21][22][23][24][25] , but a number of other procedures have also been performed, including hemiepiphysiodesis, physeal distraction, and distraction osteogenesis with use of a circular external fixator 8,[26][27][28][29][30][31][32][33][34][35] . Although proximal tibial valgus osteotomy is commonly recommended, it is not a benign procedure and it is technically difficult.…”

mentioning

confidence: 99%

“…It is associated with a high rate of complications, including wound problems, neurovascular injury, malalignment, and loss of correction 8,11,17,23,[36][37][38][39][40] . Distrac-I tion osteogenesis with a circular external fixator provides consistent correction of the tibial deformity and limb-length discrepancy associated with late-onset tibia vara, but it has the potential disadvantages of poor patient compliance, a high complication rate, and the need for a second anesthetic for device removal 29,41,42 .…”

mentioning

confidence: 99%