[Experience with temporary epiphyseodesis after Blount (author's transl)]. 1979

G Anders, and I Stachon

The article reports on the results of follow-up esaminations of 57 children in whom temporary epiphysiodesis according to Blount had been performed on account of differences in leg length and because of angular deformities. Numerous complications were revealed during the evaluation of the results, which had to be subdivided into pure clasp complications such as fracture of the clasps, and secondary consequences. Formation of a genu recurvatum was particularly frequent, as well as the development of genu valgum and varum, ligamental insufficiencies, and ugly scars. Although in some cases the preoperatively existing average length was difference 31 mm only, the desired equalisation could not be completely achieved. The article discusses the authors' own errors which contributed to the failures, and lists the results of other authors who had observed similar complications. On the whole, basing on the authors' own experience and on the reports available from other hospitals, it is concluded that temporary epiphysiodesis after Blount should be performed in few exceptional cases only, observing all precautionary measures, if equalisation of differences in leg length is the actual aim of the procedure. However, it is also concluded that the method is suitable for treating relatively pronounced axis deviations provided the children are subjected to regular and reliable post-operative followups.

UI MeSH Term Description Entries
D007717 Knee A region of the lower extremity immediately surrounding and including the KNEE JOINT.
D007870 Leg Length Inequality A condition in which one of a pair of legs fails to grow as long as the other, which could result from injury or surgery. Inequalities, Leg Length,Inequality, Leg Length,Leg Length Inequalities,Length Inequalities, Leg,Length Inequality, Leg
D008297 Male Males
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D004838 Epiphyses The head of a long bone that is separated from the shaft by the epiphyseal plate until bone growth stops. At that time, the plate disappears and the head and shaft are united. Epiphysis
D005260 Female Females
D005269 Femur The longest and largest bone of the skeleton, it is situated between the hip and the knee. Trochanter,Greater Trochanter,Lesser Trochanter,Femurs,Greater Trochanters,Lesser Trochanters,Trochanter, Greater,Trochanter, Lesser,Trochanters,Trochanters, Greater,Trochanters, Lesser
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

G Anders, and I Stachon
January 1978, Zeitschrift fur Orthopadie und ihre Grenzgebiete,
G Anders, and I Stachon
January 1978, Giornale italiano di cardiologia,
G Anders, and I Stachon
August 1980, Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca,
G Anders, and I Stachon
August 1976, Ceskoslovenska gynekologie,
G Anders, and I Stachon
January 1978, DE; the journal of dental engeering,
G Anders, and I Stachon
December 1975, Shigaku = Odontology; journal of Nihon Dental College,
G Anders, and I Stachon
May 1978, Lijecnicki vjesnik,
G Anders, and I Stachon
March 1975, Zeitschrift fur Erkrankungen der Atmungsorgane,
Copied contents to your clipboard!