Staged Bilateral Total Knee Arthroplasty for Neglected Blount Disease Using a Gap Balancing Technique

Autor: Adam J. Taylor, MD, William Carpenter, MD, Robert P. Runner, MD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Arthroplasty Today, Vol 11, Iss , Pp 25-31 (2021)
Druh dokumentu: article
ISSN: 2352-3441
DOI: 10.1016/j.artd.2021.07.009
Popis: Blount disease is an acquired, asymmetrical disorder of proximal tibial growth that results in a complex three-dimensional proximal tibial deformity, with tibial varus being the dominating feature. Although the exact pathophysiology is unknown, Blount disease is separated into 2 clinical variants, infantile and adolescent, based on the onset of symptoms occurring before or after the age of 10 years. If recognized and treated early, affected patients generally have a favorable prognosis; however, if neglected, it can lead to progressive malalignment and premature osteoarthritis. We present a patient with bilateral neglected Blount disease who underwent successful bilateral total knee arthroplasty performed in a staged fashion using a gap balancing technique with constrained condylar knee implants.
Databáze: Directory of Open Access Journals