title: Double-elevating osteotomy of tibiae in the treatment of severe cases of Blount's disease.
abstract: The results of operative correction of 13 cases of tibia vara in 10 children with advanced infantile Blount's disease are presented. All of the children were operated by "double-elevating" osteotomy. An essential element of this procedure was the reconstruction of the horizontal level of the medial tibial plateau. The average follow-up after treatment was 8 years 1 month. We recommend this method of osteotomy in cases of considerable depression of the medial tibial condyle with the defect of epiphyseal bone and as a bone bridge between the metaphysis and the epiphysis.
authors.affiliation: Pediatric Orthopaedic Clinic, Lublin, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Gregosiewicz
authors.forename: I
authors.initials: I
authors.lastname: Wośko
authors.forename: G
authors.initials: G
authors.lastname: Kandzierski
authors.forename: Z
authors.initials: Z
authors.lastname: Drabik
mesh_terms: D000208:Acute Disease; D002648:Child; D005260:Female; D005360:Fibula / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009068:Movement; D010007:Osteochondritis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D011312:Pressure; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*