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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Autores principales: Adam J. Taylor, MD, William Carpenter, MD, Robert P. Runner, MD
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Lenguaje:EN
Publicado: Elsevier 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Blount disease
Total knee arthroplasty
Gap balancing technique
Constrained condylar knee
Orthopedic surgery
RD701-811
spellingShingle 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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