Staged Bilateral Total Knee Arthroplasty for Neglected Blount Disease Using a Gap Balancing Technique
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, i...
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2021
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oai:doaj.org-article:767662622b1f42668f21eb7ec077ab5d2021-11-14T04:33:51ZStaged Bilateral Total Knee Arthroplasty for Neglected Blount Disease Using a Gap Balancing Technique2352-344110.1016/j.artd.2021.07.009https://doaj.org/article/767662622b1f42668f21eb7ec077ab5d2021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352344121001278https://doaj.org/toc/2352-3441Blount 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.Adam J. Taylor, MDWilliam Carpenter, MDRobert P. Runner, MDElsevierarticleBlount diseaseTotal knee arthroplastyGap balancing techniqueConstrained condylar kneeOrthopedic surgeryRD701-811ENArthroplasty Today, Vol 11, Iss , Pp 25-31 (2021) |
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Blount disease Total knee arthroplasty Gap balancing technique Constrained condylar knee Orthopedic surgery RD701-811 |
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Blount disease Total knee arthroplasty Gap balancing technique Constrained condylar knee Orthopedic surgery RD701-811 Adam J. Taylor, MD William Carpenter, MD Robert P. Runner, MD Staged Bilateral Total Knee Arthroplasty for Neglected Blount Disease Using a Gap Balancing Technique |
description |
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. |
format |
article |
author |
Adam J. Taylor, MD William Carpenter, MD Robert P. Runner, MD |
author_facet |
Adam J. Taylor, MD William Carpenter, MD Robert P. Runner, MD |
author_sort |
Adam J. Taylor, MD |
title |
Staged Bilateral Total Knee Arthroplasty for Neglected Blount Disease Using a Gap Balancing Technique |
title_short |
Staged Bilateral Total Knee Arthroplasty for Neglected Blount Disease Using a Gap Balancing Technique |
title_full |
Staged Bilateral Total Knee Arthroplasty for Neglected Blount Disease Using a Gap Balancing Technique |
title_fullStr |
Staged Bilateral Total Knee Arthroplasty for Neglected Blount Disease Using a Gap Balancing Technique |
title_full_unstemmed |
Staged Bilateral Total Knee Arthroplasty for Neglected Blount Disease Using a Gap Balancing Technique |
title_sort |
staged bilateral total knee arthroplasty for neglected blount disease using a gap balancing technique |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/767662622b1f42668f21eb7ec077ab5d |
work_keys_str_mv |
AT adamjtaylormd stagedbilateraltotalkneearthroplastyforneglectedblountdiseaseusingagapbalancingtechnique AT williamcarpentermd stagedbilateraltotalkneearthroplastyforneglectedblountdiseaseusingagapbalancingtechnique AT robertprunnermd stagedbilateraltotalkneearthroplastyforneglectedblountdiseaseusingagapbalancingtechnique |
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