Beheih I, Serafin J, Penconek W, Mehdwi S
Katedry i Kliniki Ortopedycznej w Warszawie.
Chir Narzadow Ruchu Ortop Pol. 1997;62(3):253-9.
We are presenting 23 patients with infantile tibia vara (Blount disease) treated with proximal tibial osteotomy between 1968 and 1992. Average age at the osteotomy was 6 years and 4 months. Average age at the final follow-up was 20 years and 5 months. Average length of follow-up was 14 years. Patients were evaluated clinically and radiographically. The main complaint at the final check-up was pain. Correction of the lower leg alignment did not guarantee good knee function. Horizontal orientation of the knee joint line seems to influence greatly the knee function. Patients operated on before the age of 5 were pain free with good knee form and function. In majority of those either operated on late or with recurrence of deformity early degenerative changes ensued.
我们报告了1968年至1992年间接受胫骨近端截骨术治疗的23例婴儿型胫骨内翻（布朗特病）患者。截骨术时的平均年龄为6岁4个月。末次随访时的平均年龄为20岁5个月。平均随访时间为14年。对患者进行了临床和影像学评估。末次检查时的主要主诉是疼痛。小腿对线的矫正并不能保证良好的膝关节功能。膝关节线的水平方向似乎对膝关节功能有很大影响。5岁前接受手术的患者无痛，膝关节形态和功能良好。大多数手术较晚或畸形复发的患者随后出现了早期退行性改变。
