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Janoyer, M., Jabbari, H., Rouvillain, J.L., Sommier, J., Py, G., Catonné, Y. and Colombani, J.F. (2007) Infantile Bloun’s Disease Treated by Hemiplateau Elevation and Epiphyseal Distraction Using a Specific External Fixator: Preliminary Report. Journal of Pediatric Orthopaedics B, 16, 273-280.
http://dx.doi.org/10.1097/01.bpb.0000210591.35652.84

has been cited by the following article:

• TITLE: Combined Antero-Posterior Inverted-U Metaphyseal and Open-Wedge Medial-Epiphyseal Osteotomy for Advanced Blount Disease

  AUTHORS: Alfred O. Ogbemudia, Anirejuoritse Bafor, Ehimwenma J. Ogbemudia, Edwin Edomwonyi

  KEYWORDS: Blount Disease, Double Osteotomy, Tibial Osteotomy, Blount Disease

  JOURNAL NAME: Surgical Science, Vol.6 No.4, April 9, 2015

  ABSTRACT: Background: Blount disease is frequently associated with deformities that may not be adequately corrected by a single metaphyseal osteotomy. This study evaluated the outcome of a combined metaphyseal and epiphyseal osteotomy in severe cases. Methods: We prospectively evaluated the outcome of combining the antero-posterior inverted-U metaphyseal osteotomy with a medial open-wedge hemi-epiphyseal osteotomy in eighteen patients (27 tibiae) with Stage IV to VI Blount disease. Results: The average age of patients was 9 years (ranging from 5 to 17). The tibio-femoral angle improved from 43° varus (Range: 34° - 78°) to 2° varus (Range: 5° valgus to 8° varus). The metaphyseal-diaphyseal angle improved from 36° to 8° varus. Internal tibial torsion improved from 39° to 2°. All the patients were able to achieve 110°of knee flexion in a year. Conclusion: In conclusion, the combined metaphyseal and epiphyseal osteotomy satisfactorily corrected tibio-femoral and metaphyseal-diaphyseal varus and internal tibial torsion without recurrence in patients with severe Blount disease. Level of Evidence: IV.