Jones S, Hosalkar H S, Hill R A, Hartley J
Division of Paediatric Orthopaedics, Hospital for Sick Children, London, England, UK.
J Bone Joint Surg Br. 2003 May;85(4):565-71. doi: 10.1302/0301-620x.85b4.13602.
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.
