Blount Disease - Treatment

Blount's disease Treatment depends on the child's age and the severity of the varus deformity. Observation or tijarea are most commonly used for children 2-5 years. However, progressive deformation require osteotomy. Interventional treatment is not recommended for children under 2 years because deformation may be an exaggerated physiological genu varum.
Conservative therapy:If the child is under 2 years orthopedic treatment may be used when the deflection angle increases or tibiofemural is over 15 degrees. Tijarea ambulatory during the day is indicated for patients under 3 years because the disease is reversible in stages 1 and 2. If distortion persists or increases in advanced stages during the day indicate tijarea osteotomy. Osteotomy is preferred before the age of 4 years acopilului to prevent recurrence.Orthopedic devices are ineffective to control varus in adolescents and the treatment is surgical.
Surgical therapy:If deformation is not amelioraeza orthopedic devices and the disease progresses to advanced radiographic indicate surgical correction. Surgery is indicated if the child is over 15 degrees angle tibiofemural if deformation is debilitating, if metaphysical-shaft angle is above 14 degrees. Absolute indications for surgery are depression tibial plateau, knee ligament laxity.Osteotomy is the procedure used. It describes various types of osteotomy. In general when performing the osteotomy with internal fixation osteotomy heal in eight weeks. If a callus develops enough to prevent movement or loss position retainer is removed at 5-6 weeks postoperative. Apply a cast up above the knee with the knee in extension and ankle free. When using external notifier and osteogenesis by angular manipulation fun begins a week after application of graded external retainer and osteotomy. This correction takes place from 2-3 weeks depending on the severity of the deformity. After the angular correction achieved external skeleton is stabilized by additional threaded rods. The rods are removed at 12 weeks postoperative.