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- W2247141633 abstract "Aim: To report the outcome of treatment of Severe Blount's disease in late-onset type by gradual correction using Ilizarov and multi-axial devices in Delta State University Teaching, Hospital, Oghara. Patients And Method: A three-year retrospective study of five knees in five patients with late-onset Severe Blount's disease treated by gradual method of correction between 12 th of January 2012 and 31 st of December 2014 was done. They were managed in a single step, by a gradual method of correction, using the Ilizarov device in four patients and multi-axial correction (MAC) device in one. The procedure comprised of medial tibial plateau elevation, varus deformity and limb length discrepancy (LLD) correction all by distraction osteogenesis after osteotomy. The tibial torsion was corrected acutely after osteotomy. The age range of the patients was 9-35 years (mean=15.8 years), the range tibiofibular (TFA) angle was 30 0 -50 0 (mean=45 0 ) and LLD was 4-8cm (mean=6cm). MPTA range was 35-50 0 . Outcome was assessed by Schoenecker criteria. Results: After a mean period of 4 months (3-5months) of removal of the device, results were good in all 5 patients. The range of TFA was 5-9 0 valgus (mean=6.8 0 ).The range of MPTA post procedure was 15-22 0 (mean=18 0 ). LLD was resolved in all limbs. The results remained same after a follow up period of 1-2years (average of 14 months). Complications include pains around pin sites, pin-tract infection and muscle spasms during distraction and hypertrophic scar or keloid formation in the surgical wound. The complications were resolved with treatment but the hypertrophic scar and keloid remained. Conclusion: Correction of unilateral severe Blount's disease with associated LLD, often seen in recurrent and neglected Blount's disease, is possible with gradual method of correction using Ilizarov or multi-axial correction device. This is not possible with acute methods of correction except it is bilateral." @default.
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- W2247141633 date "2015-04-18" @default.
- W2247141633 modified "2023-09-23" @default.
- W2247141633 title "Management of Severe/ Recurrent Blount's Disease - The Oghara Experience" @default.
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- W2247141633 doi "https://doi.org/10.6084/m9.figshare.1384809.v1" @default.
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