Doença de Blount

Langeskiold 6 tratada com correções seriadas

Authors

  • Monica Paschoal Nogueira Hospital do Servidor Estadual de São Paulo
  • Paulo Kanaji Hospital do Servidor Estadual de São Paulo
  • Alessandro Monterroso Felix Hospital do Servidor Estadual de São Paulo
  • Daniela Gomes Hospital do Servidor Estadual de São Paulo

Keywords:

Blount desease, Varus, Circular external fixator, Tibia vara

Abstract

Blount disease is a challenge to the pediatric orthopaedic surgeon due to the defect on the medial aspect of proximal tibial physis, with varus, procurvatum and internal rotation of the lower limb. Treatment should include surveillance of growing process, focusing on the correct alignment and limb equality. Type 6 of Langeskiold is the most severe form. A girl with this presentation is reported in this study with the serial surgeries needed to achieve this goal. She has undergone oblique acute osteotomy for correction of varus and rotation, medial plateau elevation, medial distal femur epiphysiodesis, and two metaphyseal osteotomies with circular fixator application, the last one with an hexapodal frame.

Downloads

Download data is not yet available.

Author Biographies

Monica Paschoal Nogueira, Hospital do Servidor Estadual de São Paulo

Chefe do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE – IAMSPE – São Paulo

Paulo Kanaji, Hospital do Servidor Estadual de São Paulo

Médico Assistente do Grupo de Ortopedia
Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE – IAMSPE – São Paulo

Daniela Gomes, Hospital do Servidor Estadual de São Paulo

Médica Residente (R4) em Ortopedia Infantil e Reconstrução do HSPE –
IAMSPE – São Paulo

References

Blount WP. Tibia vara. Osteochondrosis deformans tibiae. J Bone Joint Surg.1937;19:1-29.

Langenskiold A. Tibia vara; (osteochondrosis deformans tibiae); a survey of 23 cases. Acta Chir Scand. 1952;103(1):1-22.

Birch JC. Blount disease. J Am Acad Orthop Surg. 2013;21(7):408-18

Sabharwal S. Blount disease. J Bone Joint Surg Am. 2009;91(7):1758-76.

Sangeorzan BP, Judd RP, Sangeorzan BJ. Mathematical analysis of single-cut osteotomy for complex long bone deformity. J Biomech. 1989;22(11-12):1271-8.

Paley D. Principles of deformity correction. Berlin, Germany: Springer-Verlag, 2002. Cap. 9, p. 261-4: Locating the inclined osteotomy.

Burghardt RD, Specht SC, Herzenberg JE. Mechanical failures of eight-plateguided growth system for temporary hemiepiphysiodesis. J Pediatr Orthop. 2010 Sep;30(6):594-7.

McIntosh AL, Hanson CM, Rathjen KE. Treatment of adolescent tibia vara with hemiepiphysiodesis: risk factors for failure. J Bone Joint Surg Am. 2009; 91(12):2873-9.

Schroerlucke S, Bertrand S, Clapp J, Bundy J, Gregg FO. Failure of Orthofix eight-Plate for the treatment of Blount disease. J Pediatr Orthop. 2009;29(1):57-60.

Published

2015-01-09

How to Cite

1.
Nogueira MP, Kanaji P, Felix AM, Gomes D. Doença de Blount: Langeskiold 6 tratada com correções seriadas. RTO [Internet]. 2015 Jan. 9 [cited 2025 Mar. 9];15(1):17-22. Available from: https://rto.emnuvens.com.br/revista/article/view/290

Issue

Section

Artigos