Modified Oblique Proximal Tibial Osteotomy for Deformity Correction of Tibia Vara (Blount Disease)
Mohamed Mansour Elzohairy*
Consultant of Orthopaedic Surgery, Faculty of Medicine, Zagazig University, Egypt
- *Corresponding Author:
- Mohamed Mansour Elzohairy
Lecturer and Consultant of Orthopedic Surgery
Faculty of Medicine, Zagazig University, Egypt
E-mail: [email protected]
Received Date: June 27, 2012; Accepted Date: July 26, 2012; Published Date: July 30, 2012
Citation: Elzohairy MM (2012) Modifies Oblique Proximal Tibial Osteotomy for Deformity Correction of Tibia Vara (Blount Disease). Orthop Muscul Syst 1: 118. doi: 10.4172/2161-0533.1000118
Copyright: © 2012 Elzohairy MM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: In Blount’s disease, there is a complex three-dimensional deformity which typically includes varus, internal rotation, and (sometimes) procurvatum. The best way to obtain correction is with simple procedure carried out as high in the tibia as possible to promote rapid union, quick remodeling, and with minimal proximal shaft deformity.
Patients and methods: 17 patients with tibia vara underwent corrections of deformity associated with tibia vara by modified Rab proximal tibial oblique osteotomy at our hospital. In twelve patients the deformity was bilateral and it was unilateral in the other five patients, with a total of 29 tibiae. They were ten boys and seven girls with a mean age at surgery of 3 years 6 months (range, 3 years 2 months to 4 years 11 months). The patients were in stage III of the Langenskiöld classification (1952) of the disease.
Results: According to Schoenecker’s criteria, 100% of the patients in this study had a good result. Radiologically healing was achieved in all osteotomies with the desired correction of deformity within twelve weeks in all the 17 patients with no complication.
Conclusion: The modified Rab oblique proximal tibial has the advantage of allowing both angular and rotational correction with a high degree of success.