Treatment of Blount Disease: A Comparison Between the Multiaxial Correction System and Other External Fixators
BACKGROUND:Many surgical procedures have been proposed for treatment of Blount disease (tibia vara). Gradual correction of Blount disease has been described with both unilateral and circular external fixators. The purpose of this study was to compare the clinical and radiographic results of gradual...
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| Veröffentlicht in: | Journal of pediatric orthopaedics 2009-03, Vol.29 (2), p.103-109 |
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| creator | Clarke, Sylvan E McCarthy, James J Davidson, Richard S |
| description | BACKGROUND:Many surgical procedures have been proposed for treatment of Blount disease (tibia vara). Gradual correction of Blount disease has been described with both unilateral and circular external fixators. The purpose of this study was to compare the clinical and radiographic results of gradual correction for severe or recurrent Blount disease using the Biomet Multi-Axial Correction (MAC; Biomet Trauma, Parsippany, NJ) external fixator to our historical controls using other devices (such as the Ilizarov and Garche T-clamp).
METHODS:A total of 58 corrections were performed on the 54 limbs in 38 patients. Charts were analyzed to evaluate the presence of complications during the course of external fixator treatment. The tibiofemoral, anatomic medial proximal tibial, and proximal posterior tibial angles were measured on radiographs taken before application of the external fixator and after removal to compare the correction achieved by the MAC fixator and the other fixators.
RESULTS:The mean values for the tibiofemoral angle, anatomic medial proximal tibial angle, and proximal posterior tibial angle were similar between the 2 groups after treatment and at follow up. The rate of complications between the 2 groups was also not significantly different.
CONCLUSIONS:The MAC external fixator provides an acceptable alternative for gradual correction of Blount disease.
LEVEL OF EVIDENCE:Level III. |
| doi_str_mv | 10.1097/BPO.0b013e3181982a62 |
| format | Article |
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METHODS:A total of 58 corrections were performed on the 54 limbs in 38 patients. Charts were analyzed to evaluate the presence of complications during the course of external fixator treatment. The tibiofemoral, anatomic medial proximal tibial, and proximal posterior tibial angles were measured on radiographs taken before application of the external fixator and after removal to compare the correction achieved by the MAC fixator and the other fixators.
RESULTS:The mean values for the tibiofemoral angle, anatomic medial proximal tibial angle, and proximal posterior tibial angle were similar between the 2 groups after treatment and at follow up. The rate of complications between the 2 groups was also not significantly different.
CONCLUSIONS:The MAC external fixator provides an acceptable alternative for gradual correction of Blount disease.
LEVEL OF EVIDENCE:Level III.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/BPO.0b013e3181982a62</identifier><identifier>PMID: 19352232</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Diseases of the osteoarticular system ; External Fixators ; Female ; Femur - surgery ; Follow-Up Studies ; Humans ; Ilizarov Technique ; Male ; Malformations and congenital and or hereditary diseases involving bones. Joint deformations ; Medical sciences ; Osteotomy - methods ; Postoperative Complications - etiology ; Radiography ; Recurrence ; Retrospective Studies ; Severity of Illness Index ; Tibia - abnormalities ; Tibia - diagnostic imaging ; Tibia - surgery ; Treatment Outcome</subject><ispartof>Journal of pediatric orthopaedics, 2009-03, Vol.29 (2), p.103-109</ispartof><rights>2009 Lippincott Williams & Wilkins, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3291-3a6fc427b7cb10e99b7466bcc34d0e53a6705f39626560cb41a245b4c4c36dea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21193593$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19352232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clarke, Sylvan E</creatorcontrib><creatorcontrib>McCarthy, James J</creatorcontrib><creatorcontrib>Davidson, Richard S</creatorcontrib><title>Treatment of Blount Disease: A Comparison Between the Multiaxial Correction System and Other External Fixators</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>BACKGROUND:Many surgical procedures have been proposed for treatment of Blount disease (tibia vara). Gradual correction of Blount disease has been described with both unilateral and circular external fixators. The purpose of this study was to compare the clinical and radiographic results of gradual correction for severe or recurrent Blount disease using the Biomet Multi-Axial Correction (MAC; Biomet Trauma, Parsippany, NJ) external fixator to our historical controls using other devices (such as the Ilizarov and Garche T-clamp).
METHODS:A total of 58 corrections were performed on the 54 limbs in 38 patients. Charts were analyzed to evaluate the presence of complications during the course of external fixator treatment. The tibiofemoral, anatomic medial proximal tibial, and proximal posterior tibial angles were measured on radiographs taken before application of the external fixator and after removal to compare the correction achieved by the MAC fixator and the other fixators.
RESULTS:The mean values for the tibiofemoral angle, anatomic medial proximal tibial angle, and proximal posterior tibial angle were similar between the 2 groups after treatment and at follow up. The rate of complications between the 2 groups was also not significantly different.
CONCLUSIONS:The MAC external fixator provides an acceptable alternative for gradual correction of Blount disease.
LEVEL OF EVIDENCE:Level III.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Diseases of the osteoarticular system</subject><subject>External Fixators</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Ilizarov Technique</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>Osteotomy - methods</subject><subject>Postoperative Complications - etiology</subject><subject>Radiography</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Tibia - abnormalities</subject><subject>Tibia - diagnostic imaging</subject><subject>Tibia - surgery</subject><subject>Treatment Outcome</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtv1DAQgC0EokvhHyDkC72lHT9ix9y6SwuVihap7TlyvBNtwIkX29Fu_z2uuqISh9GMNN889BHykcE5A6Mvlj_X59ABEyhYw0zDreKvyILVwlS81vCaLIBrViltmhPyLqVfAEwLKd6SE2ZEzbngCzLdR7R5xCnT0NOlD3Opvg4JbcIv9JKuwrizcUhhokvMe8SJ5i3SH7PPgz0M1hciRnR5KMTdY8o4Ujtt6LpQkV4dMsapQNfDweYQ03vyprc-4YdjPiUP11f3q-_V7frbzerytnKCG1YJq3onue606xigMZ2WSnXOCbkBrEtbQ90Lo7iqFbhOMstl3UknnVAbtOKUnD3v3cXwZ8aU23FIDr23E4Y5tUoXh8CbAspn0MWQUsS-3cVhtPGxZdA-eW6L5_Z_z2Xs03H_3I24eRk6ii3A5yNgk7O-j3ZyQ_rHcfZEGvFyfx98cZV--3mPsd2i9XnbAuOSCdNUHMq7AgCqEuWXv_0OlqA</recordid><startdate>200903</startdate><enddate>200903</enddate><creator>Clarke, Sylvan E</creator><creator>McCarthy, James J</creator><creator>Davidson, Richard S</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200903</creationdate><title>Treatment of Blount Disease: A Comparison Between the Multiaxial Correction System and Other External Fixators</title><author>Clarke, Sylvan E ; McCarthy, James J ; Davidson, Richard S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3291-3a6fc427b7cb10e99b7466bcc34d0e53a6705f39626560cb41a245b4c4c36dea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Diseases of the osteoarticular system</topic><topic>External Fixators</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Ilizarov Technique</topic><topic>Male</topic><topic>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</topic><topic>Medical sciences</topic><topic>Osteotomy - methods</topic><topic>Postoperative Complications - etiology</topic><topic>Radiography</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Tibia - abnormalities</topic><topic>Tibia - diagnostic imaging</topic><topic>Tibia - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clarke, Sylvan E</creatorcontrib><creatorcontrib>McCarthy, James J</creatorcontrib><creatorcontrib>Davidson, Richard S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clarke, Sylvan E</au><au>McCarthy, James J</au><au>Davidson, Richard S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of Blount Disease: A Comparison Between the Multiaxial Correction System and Other External Fixators</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>2009-03</date><risdate>2009</risdate><volume>29</volume><issue>2</issue><spage>103</spage><epage>109</epage><pages>103-109</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>BACKGROUND:Many surgical procedures have been proposed for treatment of Blount disease (tibia vara). Gradual correction of Blount disease has been described with both unilateral and circular external fixators. The purpose of this study was to compare the clinical and radiographic results of gradual correction for severe or recurrent Blount disease using the Biomet Multi-Axial Correction (MAC; Biomet Trauma, Parsippany, NJ) external fixator to our historical controls using other devices (such as the Ilizarov and Garche T-clamp).
METHODS:A total of 58 corrections were performed on the 54 limbs in 38 patients. Charts were analyzed to evaluate the presence of complications during the course of external fixator treatment. The tibiofemoral, anatomic medial proximal tibial, and proximal posterior tibial angles were measured on radiographs taken before application of the external fixator and after removal to compare the correction achieved by the MAC fixator and the other fixators.
RESULTS:The mean values for the tibiofemoral angle, anatomic medial proximal tibial angle, and proximal posterior tibial angle were similar between the 2 groups after treatment and at follow up. The rate of complications between the 2 groups was also not significantly different.
CONCLUSIONS:The MAC external fixator provides an acceptable alternative for gradual correction of Blount disease.
LEVEL OF EVIDENCE:Level III.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>19352232</pmid><doi>10.1097/BPO.0b013e3181982a62</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of pediatric orthopaedics, 2009-03, Vol.29 (2), p.103-109 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Biological and medical sciences Child Diseases of the osteoarticular system External Fixators Female Femur - surgery Follow-Up Studies Humans Ilizarov Technique Male Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences Osteotomy - methods Postoperative Complications - etiology Radiography Recurrence Retrospective Studies Severity of Illness Index Tibia - abnormalities Tibia - diagnostic imaging Tibia - surgery Treatment Outcome |
| title | Treatment of Blount Disease: A Comparison Between the Multiaxial Correction System and Other External Fixators |
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