The Use of the Taylor Spatial Frame in Adolescent Blount's Disease: is Fibular Osteotomy Necessary?

Overview

Journal J Child Orthop

Publisher Sage Publications

Specialty Pediatrics

Date 2009 Mar 25

PMID 19308577

Citations 7

Authors

Mark Eidelman

Viktor Bialik

Alexander Katzman

Affiliations

Soon will be listed here.

Abstract

Background: The standard treatment of adolescent Blount disease includes proximal tibial osteotomy and osteotomy of the fibula. Some believe that the fibula should also be fixed to prevent migration and subluxation. The purpose of the current study was to examine the results of treatment of patients with adolescent tibia vara treated by tibial osteotomy and Taylor spatial frame (TSF) without fibular osteotomy.

Methods: Correction of deformities was performed on eight patients (ten tibias) with adolescent Blount disease using TSF. The fibula was not osteotomized in any patient and was not fixed in the last five patients.

Results: All patients had precise anatomical correction of deformities and no problems related to the fibula occurred during or after correction.

Conclusion: Based on our experience we believe that placement of the origin at the level of the proximal tibial fibular joint in conjunction with external fixation eliminates the need for fibular osteotomy and the potential morbidity of this procedure in patients with mild to moderate tibia vara.

Citing Articles

Recurrence and Complication Rates of Surgical Treatment for Blount's Disease in Children: A Systematic Review and Meta-Analysis.

Ramella M, Depaoli A, Menozzi G, Gallone G, Cerasoli T, Rocca G J Clin Med. 2023; 12(20).

PMID: 37892633 PMC: 10607610. DOI: 10.3390/jcm12206495.

Tibia vara or Blount's disease: Why an early diagnosis and treatment are important?.

Vasiliadis A, Maris A, Gadikoppula S Clin Pract. 2020; 10(1):1222.

PMID: 32419907 PMC: 7221452. DOI: 10.4081/cp.2020.1222.

Clinical utility of the Taylor spatial frame for limb deformities.

Keshet D, Eidelman M Orthop Res Rev. 2019; 9:51-61.

PMID: 30774477 PMC: 6209368. DOI: 10.2147/ORR.S113420.

Multiplanar Deformities Correction Using Taylor Spatial Frame in Skeletally Immature Patients.

Koren L, Keren Y, Eidelman M Open Orthop J. 2016; 10:71-9.

PMID: 27347235 PMC: 4897032. DOI: 10.2174/1874325001610010603.

Is there a difference in sagittal alignment of Blount's disease between radiographic and clinical evaluation?.

Kim S, Sabharwal S Clin Orthop Relat Res. 2014; 472(12):3807-13.

PMID: 24452794 PMC: 4397741. DOI: 10.1007/s11999-014-3473-5.

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