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العنوان
Treatment of Blount’s disease by temporary hemiepiphysiodesis using eight plate
الناشر
faculty of medicine
المؤلف
Abdullah,Mohammad Hassan Abbas
هيئة الاعداد
باحث / محمد حسن عباس عبدالله
مشرف / أ.د. أحمد حسن يسري
مشرف / أ.م.د. شادي سميرالبشري
مشرف / أ.م.د. شادي سميرالبشري
الموضوع
Blount’s disease temporary hemiepiphysiodesis eight plate
تاريخ النشر
2018
عدد الصفحات
64 P.
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2018
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

from 64

from 64

Abstract

Background: Tibia vara (Blount’s disease) is an orthopedic condition that affects young children causing varus deformity of the knee. Blount described tibia vara as “an osteochondrosis located at the medial side of the proximal tibial epiphysis.” Currently, tibia vara is considered an acquired disease of the proximal tibial metaphysis, However, rather than an epiphyseal dysplasia or osteochondrosis. The exact cause is unknown, but enchondral ossification seems to be altered. Suggested causative factors include infection, trauma, osteonecrosis and a latent form of rickets, although none of these has been proved. Combination of hereditary and developmental factors is the most likely cause. Weight bearing must be necessary for its development because it does not occur in non-ambulatory patients and the relationship of early walking and obesity to Blount disease has been clearly documented.
Purpose: to establish, through the literatures, what is the effectiveness of temporary hemiepiphysiodesis by eight plate in treating Blount’s disease.
Methodology: A systematic review was carried out on several studies which met the inclusion criteria. In this Study we conducted an up-to-date review of the studies discussing results of use of eight plates in temporary hemiepiphysiodesis in Blount disease and published between June 2008 and June 2018.
Results: in our study, success rate is 67.1% with a considerable rate of correction of mechanical axis deviation ranging between 0.58 mm\month to 1.5mm\month. Success rate in infantile age group was 95%, while in adolescent age group was 48%.
Conclusion: it is evident that results of 8-plate in Blount disease is much better in infantile group of age than adolescent group. So, 8-plate can be used in treatment of Blount’s disease up to stage IV . The results are better in low BMI and younger age group .