Infantile tibia vara

R. T. Loder, C. E. Johnston

Research output: Contribution to journalArticle

64 Scopus citations

Abstract

We studied the applicability of Langenskiold’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 Langenskiold’s series would suggest. We question the accuracy of Langenskiold's estimate of prognosis when applied to this patient group.

Original languageEnglish (US)
Pages (from-to)639-646
Number of pages8
JournalJournal of Pediatric Orthopaedics
Volume7
Issue number6
DOIs
StatePublished - Jan 1 1987

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Keywords

  • Brace treatment
  • Infantile tibia vara
  • Langenskiõld classification
  • Osteotomy
  • Recurrence

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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