Melt-metaphyseal and diphyseal osteotomy for correction of infantile XXXX : a long-term follow-up study.

@entity1 @entity20174 @entity74 @entity158 @entity5249
@entity5249 is an uncommon disorder of postero-medial proximal tibial physis. Blount described infantile and adolescent types. This study aims to describe using femur, @entity20174 to treat infantile @entity5249 . From May 1992 to May 2005, 7 @entity1 of @entity5249 (3 males, 4 females) were included, whose age was range from 17 to 62 months. Femorotibial angle (FTA) was 31    6   (range from 27   to 41  ). Metaphyseal-diaphyseal angle (MDA) was 16    4   (range from 13   to 24  ). The femoral vara angle was 10    4   (range from 2   to 23  ). According to Langenskiold's classification, 3 @entity1 were in stage II, 7 @entity1 in stage III, and 2 @entity1 in stage IV. Five cases were affected bilateral and 2 unilaterally, treated by famur, @entity20174 , and a hip spica cast were used for 6 weeks after operation. Results indicated that all @entity1 were followed up 3 to 16 years. FTA, MDA and femur diaphysis were measured, FTA was 2    7  valgus (from 4   vara to 13   valgus). MDA was 1    2  valgus (range from 0   to 12  ). Femoral diaphyseal angle was 1    3  valgus (range from 3   vara to 7   valgus). Six @entity1 could walk without any knee @entity158 , except for 1 @entity1 with @entity74 feels his left genu uncomfortable after long time stand or work. His MDA was 12  , and FAT was -4  . In conclusion, femur, @entity20174 are useful for correction of @entity5249 . Recurrence and complication are less than those reported for @entity5249 .
