Analysis of Surgical Treatment Outcomes in Patients with Erlacher — Blount Disease

M.S. Kabatsiy, Ye.L. Golyuk, M.M. Nemesh

Abstract


Objective of the work — to estimate the results of surgical treatment for Erlacher — Blount disease depending on the type of surgery and the patient’s age. Material for the study were medical records and radiographs of the knee joints in 179 patients (278 knees joints) with Blount disease who underwent surgery at our department over the past 30 years. X-ray, roentgenomorphometric, statistical researches had been carried out. Based on the analysis it was found that the method of choice in the treatment of early forms of Blount disease in children under 3 years is semicircular periosteal dissection. In patients older than 3 years, when applying semicircular periosteal dissection, we detected residual varus deformity of the tibia; when applying corrective osteotomy according to Shargorodsky, 25 % of patients had a recurrence of the deformity, which required reoperation. The analysis showed the need to develop and implement a differentiated approach to surgical treatment of Erlacher — Blount disease, the use of which would improve the results and reduce the relapse rate.

Keywords


Erlacher — Blount disease; semicircular periosteal dissection; tibial osteotomy according to Shargorodsky; knee joint

References


Striker S.J. Classification of Tibia vara: An Assessment of Interobserver Variabiliti / S.J. Striker, P.M. Edvards // Journal of Pediatric Ortopedics. — 2004. — № 8. — P. 156-170.

Талько И.Г. Полуциркулярное рассечение надкостницы при лечении болезни Блаунта / И.Г. Талько, М.С. Кабаций // Ортопедия и травматология. — 1986. — № 7. — С. 36-38.

Joseph L. Treatment of Adolescent Blount Disease with the Circular Fixation Device and Distraction Osteogenesis / Joseph L., Molino M. // Journal of Pediatric Ortopedics. — 2012. — № 11. — P. 34-36.

Gilbody J. Acute versus gradual correction of idiopathic tibia vara in children, a systemathik review / Gilbody J., Thomas G. // Oper. Ortoph. Traumatol. — 2007. — № 4. — P. 101-13.

Алекберов Д.А. Ошибки и осложнения при лечении болезни Эрлахера — Блаунта методом чрескостного остеосинтеза / Д.А. Алекберов // Вестник хирургии им. И.И. Грекова. — 2006. — № 4. — С. 49-53.

Кузнечихин Е.П. Дифференцированный подход к лечению болезни Эрлахера — Блаунта / Е.П. Кузнечихин, Д.А. Алекберов, Е.А. Бабин, А.С. Кузин // Вестник травматологии и ортопедии им. Н.Н. Приорова. — 2007. — № 4. — С. 43-54.

Хок М. О коррекции деформации голени у детей и подростков при болезни Эрлахера — Блаунта / М. Хок, А. Корж, А. Попсуйшапка // Ортопедия, травматология и протезирование. — 2009. — № 3. — С. 23-27.




DOI: https://doi.org/10.22141/1608-1706.3.15.2014.81424

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