FEMORAL VARUS - AN IMPORTANT COMPONENT IN LATE-ONSET BLOUNTS DISEASE

被引:39
作者
KLINE, SC
BOSTRUM, M
GRIFFIN, PP
机构
[1] Eastern Virginia Medical School, Norfolk, VA
[2] Union Memorial Hospital, Baltimore, MD
[3] Hospital for Special Surgery, New York, NY
[4] Medical University of South Carolina, Charleston, SC
关键词
BLOUNTS DISEASE; FEMORAL VARUS; GENU VARA;
D O I
10.1097/01241398-199203000-00010
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Femoral varus has proven a significant deformity in late-onset Blount's disease. In a retrospective study, six adolescent patients demonstrated mean femoral varus deformity of 10-degrees (range 5-degrees-16-degrees) more than the calculated ideal femoral joint angle (p < 0.01). This represented between 34 and 76% of the net genu vara deformity of the affected limbs. In the eight infantile patients, all genu vara deformity was in the tibia. The significance of femoral varus should be determined for each patient afflicted with late-onset genu vara preoperatively to avoid compensatory deformity.
引用
收藏
页码:197 / 206
页数:10
相关论文
共 34 条
[1]  
Agamanolis P., Weiner D.S., Lloyd J.K., Slipped capital femoral epiphyses: A pathological study. I. A light microscopic and histological study of 21 cases, J Pediatr Orthop, 5, pp. 47-58, (1985)
[2]  
Arkin A.M., Katz J.F., The effects of pressure on epiphyseal growth, J Bone Joint Surg [Am], 38, pp. 1056-1076, (1956)
[3]  
Bathfield C., Beighton P., Blount’s disease: A review of etiological factors in 110 patients, Clin Orthop, 135, pp. 29-33, (1978)
[4]  
Beskin J.L., Burke S.W., Johnson C.E., Roberts J.M., Clinical basis for a mechanical etiology in adolescent Blount’s disease, Orthopaedics, 9, pp. 365-370, (1986)
[5]  
Blount W.P., Tibia vara: Osteochondrosis deformans tibiae, J Bone Joint Surg, 19, pp. 1-29, (1937)
[6]  
Blount W.P., Tibia vara: Osteochondrosis deformans tibiae, Curr Pract Orthop Surg, 3, pp. 141-156, (1966)
[7]  
Bradway J.K., Klassen R.A., Peterson H.A., Blount disease: A review of the English literature, J Pediatr Orthop, 7, pp. 472-480, (1987)
[8]  
Carter J.R., Leeson M.C., Thompson G.H., Kalamchi A., Kelly C.M., Makley J.T., Late-onset tibia vara: A histopathological analysis. A comparative evaluation with infantile tibia vara and slipped capital femoral epiphysis, J Pediatr Orthop, 8, pp. 187-195, (1988)
[9]  
Cook S.D., Lavernia C.T., Burke S.W., Skinner H.B., A biome-chanical analysis of the etiology of tibia vara, J Pediatr Orthop, 3, pp. 449-454, (1983)
[10]  
Currarino G., Kirks D.R., Lateral widening of epiphyseal plates in knees of children with bowed legs, AJR, 129, pp. 309-312, (1977)