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Relapsed infantile Blount’s disease treated by hemiplateau elevation using the Ilizarov frame

Division of Paediatric Orthopaedics, 5th floor, Southwood Building, Hospital for Sick Children, Great Ormond Street, London WC1N 3JH, UK.

Correspondence should be sent to Mr R. A. Hill.

We have treated seven children with relapsed infantile Blount’s disease by elevation of the hemiplateau using the Ilizarov frame.

Three boys and four girls with a mean age of 10.5 years were reviewed at a mean of 29 months after surgery. All had improved considerably and were pleased with the results. The improvements in radiological measurements were statistically significant (p < 0.001). Three-dimensional CT reconstruction was useful for planning surgery. There were no major complications. The advantages of this technique are that in addition to elevation of the hemiplateau, rotational deformities and limb-length discrepancies may be addressed.

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				A. L. van Huyssteen, C. J. Hastings, M. Olesak, and E. B. Hoffman Double-elevating osteotomy for late-presenting infantile Blount's disease: THE IMPORTANCE OF CONCOMITANT LATERAL EPIPHYSIODESIS J Bone Joint Surg Br, May 1, 2005; 87-B(5): 710 - 715. [Abstract] [Full Text] [PDF]