Osorio F, Costa E B
Rev Chir Orthop Reparatrice Appar Mot. 1985;71(3):167-71.
The authors have studied two cases of Blount's disease in girls aged 9. They were treated by operative correction of premature epiphyseal closure, together with tibial osteotomy. In the first case, both procedures were performed simultaneously without hypercorrection, followed by a short period of non weight bearing and was a failure. In the second case, tibial osteotomy was performed first to produce hypercorrection. Division of the premature closure of the medial side of the growth-plate using cement was performed two months later. Weight bearing was not allowed for six months. There was a successful result. It is noted that a combination of tibial osteotomy and lateral epiphysiodesis was followed by a shortening of the limb and must often be repeated several times. The elimination of the premature closure of the medial side of the plate appears to be a better procedure when associated with tibial osteotomy.
作者研究了两例9岁女孩的布朗特病。她们接受了手术矫正过早骨骺闭合，并进行了胫骨截骨术。在第一例中，两种手术同时进行，未过度矫正，随后短期不负重，但手术失败。在第二例中，先进行胫骨截骨术以产生过度矫正。两个月后使用骨水泥对生长板内侧的过早闭合进行分离。六个月内不允许负重。结果成功。值得注意的是，胫骨截骨术和外侧骨骺阻滞术相结合会导致肢体缩短，而且通常必须多次重复进行。与胫骨截骨术联合使用时，消除生长板内侧的过早闭合似乎是一种更好的手术方法。
