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. 1987 Nov-Dec;7(6):639-46.

Infantile tibia vara

R T Loder  1 , C E Johnston 2nd
Affiliations
  • PMID: 3429646

Infantile tibia vara

R T Loder et al. J Pediatr Orthop. 1987 Nov-Dec.

Abstract

We studied the applicability of Langenskiöld's classification to a predominantly nonwhite population with infantile tibia vara. Age at presentation was younger than that in previously published studies. Forty-seven tibiae averaging 6 years 7 months of follow-up had 66% good results. Poor results increased in proportion to stage at presentation. Brace treatment for early lesions was only 50% effective. Single tibial osteotomy before 4 years of age gave good results in 85% of tibiae, and multiple osteotomies gave good results between 4 and 8 years of age. One-half of tibiae treated with osteotomy developed recurrent varus. This review documents earlier stages at presentation, a more malignant course, and poorer results than Langenskiöld's series would suggest. We question the accuracy of Langenskiöld's estimate of prognosis when applied to this patient group.

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