MANAGEMENT OF INFANTILE BLOUNT'S DISEASE WITH MOLDED ORTHOSES: A NEW PERSPECTIVE
Objective: This retrospective study evaluated treatment with individually contoured molded bracing at early stages of the disease. Methods: We evaluated the medical records of patients undergoing treatment of Blount's disease with molded orthoses for medial decompression between 2010 and 2014....
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2016-04-01
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| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/aob/v24n2/1413-7852-aob-24-02-00085.pdf |
| _version_ | 1818889932748357632 |
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| author | Maria Cândida de Miranda Luzo Nei Botter Montenegro Bruno Sérgio Ferreira Massa Luiz Renato Agrizzi de Angeli Felippi Guizardi Cordeiro Roberto Guarniero |
| author_facet | Maria Cândida de Miranda Luzo Nei Botter Montenegro Bruno Sérgio Ferreira Massa Luiz Renato Agrizzi de Angeli Felippi Guizardi Cordeiro Roberto Guarniero |
| author_sort | Maria Cândida de Miranda Luzo |
| collection | DOAJ |
| description | Objective: This retrospective study evaluated treatment with individually contoured molded bracing at early stages of the disease. Methods: We evaluated the medical records of patients undergoing treatment of Blount's disease with molded orthoses for medial decompression between 2010 and 2014. The deformity angle (Drennan's metaphyseal-diaphyseal angle) and Langenskiöld classification were measured before and after treatment by a pediatric orthopedic surgeon with over 5 years of practice, blinded for the study and patients. Results: The mean age was 2.57 years old. Four patients were female and six male. Half of the total sample had bilateral disease. The average deformity angle showed a statistically significant reduction after treatment (p <0.001). Gender and laterality did not statistically influence the change of the deformity angle after treatment (p> 0.05). Conclusion: The nightly use of molded orthoses for medial decompression was effective in reducing the metaphyseal-diaphyseal angle in Blount's disease in children under 3 years of age, regardless of gender and bilateral disease. Patients over 3 years old did not benefit from bracing. Level of Evidence IV, Case Series. |
| first_indexed | 2024-12-19T17:16:53Z |
| format | Article |
| id | doaj.art-c8eca1faaf1d4b9d97a8efdce848bfe2 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-12-19T17:16:53Z |
| publishDate | 2016-04-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-c8eca1faaf1d4b9d97a8efdce848bfe22022-12-21T20:12:52ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522016-04-01242858910.1590/1413-785220162402153725MANAGEMENT OF INFANTILE BLOUNT'S DISEASE WITH MOLDED ORTHOSES: A NEW PERSPECTIVEMaria Cândida de Miranda LuzoNei Botter MontenegroBruno Sérgio Ferreira MassaLuiz Renato Agrizzi de AngeliFelippi Guizardi CordeiroRoberto GuarnieroObjective: This retrospective study evaluated treatment with individually contoured molded bracing at early stages of the disease. Methods: We evaluated the medical records of patients undergoing treatment of Blount's disease with molded orthoses for medial decompression between 2010 and 2014. The deformity angle (Drennan's metaphyseal-diaphyseal angle) and Langenskiöld classification were measured before and after treatment by a pediatric orthopedic surgeon with over 5 years of practice, blinded for the study and patients. Results: The mean age was 2.57 years old. Four patients were female and six male. Half of the total sample had bilateral disease. The average deformity angle showed a statistically significant reduction after treatment (p <0.001). Gender and laterality did not statistically influence the change of the deformity angle after treatment (p> 0.05). Conclusion: The nightly use of molded orthoses for medial decompression was effective in reducing the metaphyseal-diaphyseal angle in Blount's disease in children under 3 years of age, regardless of gender and bilateral disease. Patients over 3 years old did not benefit from bracing. Level of Evidence IV, Case Series.http://www.scielo.br/pdf/aob/v24n2/1413-7852-aob-24-02-00085.pdfGenu varumOrthotic devicesTherapeuticsBraces |
| spellingShingle | Maria Cândida de Miranda Luzo Nei Botter Montenegro Bruno Sérgio Ferreira Massa Luiz Renato Agrizzi de Angeli Felippi Guizardi Cordeiro Roberto Guarniero MANAGEMENT OF INFANTILE BLOUNT'S DISEASE WITH MOLDED ORTHOSES: A NEW PERSPECTIVE Acta Ortopédica Brasileira Genu varum Orthotic devices Therapeutics Braces |
| title | MANAGEMENT OF INFANTILE BLOUNT'S DISEASE WITH MOLDED ORTHOSES: A NEW PERSPECTIVE |
| title_full | MANAGEMENT OF INFANTILE BLOUNT'S DISEASE WITH MOLDED ORTHOSES: A NEW PERSPECTIVE |
| title_fullStr | MANAGEMENT OF INFANTILE BLOUNT'S DISEASE WITH MOLDED ORTHOSES: A NEW PERSPECTIVE |
| title_full_unstemmed | MANAGEMENT OF INFANTILE BLOUNT'S DISEASE WITH MOLDED ORTHOSES: A NEW PERSPECTIVE |
| title_short | MANAGEMENT OF INFANTILE BLOUNT'S DISEASE WITH MOLDED ORTHOSES: A NEW PERSPECTIVE |
| title_sort | management of infantile blount s disease with molded orthoses a new perspective |
| topic | Genu varum Orthotic devices Therapeutics Braces |
| url | http://www.scielo.br/pdf/aob/v24n2/1413-7852-aob-24-02-00085.pdf |
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