L'agrafage selon Blount dans les déviations frontales idiopathiques des membres inférieurs chez l'enfant. [Stapling using Blount's technic in idiopathic frontal deviations of the lower limbs in children]

Détails

ID Serval
serval:BIB_B6295FB61C2B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
L'agrafage selon Blount dans les déviations frontales idiopathiques des membres inférieurs chez l'enfant. [Stapling using Blount's technic in idiopathic frontal deviations of the lower limbs in children]
Périodique
Chirurgie Pédiatrique
Auteur⸱e⸱s
Dutoit M.
ISSN
0180-5738 (Print)
Statut éditorial
Publié
Date de publication
1986
Volume
27
Numéro
2
Pages
103-7
Notes
English Abstract Journal Article
Résumé
Growth plate stapling using Blount's technique is still under discussion in its application to adolescent's lower limbs axial deformities. To establish its validity, we present a review of 18 stapling cases, 15 for valgus knees and 3 for genu varum. Mean follow up is 5 years 9 months. We analyse chronological age, bone age, clinical measurements, standing X-rays, as well as the site, time of insertion and removal of staples in these children all with symetrical involvement. Full correction of genu valgum is obtained in 30% of cases, partial correction in 30%, but varus deformity is never completely corrected. Undercorrection is as frequent as overcorrection, valgus being twice converted to significant varus. Immediate complications are few and benign, but long term sequellae of various consequence numerous. We think that this technique should be abandoned for genu varum. results when applied to valgus knees are unpredictable due to the inaccuracy of estimation of bone age and remaining growth potential, rendering impossible the exact timing of staples insertion and removal, need to avoid either definitive epiphysiodesis or deformity recurrence through rebound effect.
Mots-clé
Child Female Femur/*surgery Humans Knee/*abnormalities Leg/*abnormalities Male *Surgical Staplers Tibia/*surgery
Pubmed
Web of science
Création de la notice
28/01/2008 13:14
Dernière modification de la notice
20/08/2019 16:24
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