Treatment failures and complications in patients with Blount disease treated with temporary hemiepiphysiodesis: a critical systematic literature review
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Treatment failures and complications in patients with Blount disease treated with temporary hemiepiphysiodesis: a critical systematic literature review. / Burghardt, Rolf D; Herzenberg, John E; Andre Strahl; Bernius, Peter; Kazim, Murteza A.
In: J PEDIATR ORTHOP B, Vol. 27, No. 6, 11.2018, p. 522-529.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Treatment failures and complications in patients with Blount disease treated with temporary hemiepiphysiodesis: a critical systematic literature review
AU - Burghardt, Rolf D
AU - Herzenberg, John E
AU - Andre Strahl, null
AU - Bernius, Peter
AU - Kazim, Murteza A
PY - 2018/11
Y1 - 2018/11
N2 - This systematic review sums up the state of knowledge about complications and reasons for failure when children with Blount disease are treated with temporary hemiepiphysiodesis. Twelve studies meet the inclusion criteria. The main reported obstacles were under correction and the poor predictability of the amount of correction that was obtainable. Obese patients with severe deformity are the most challenging groups of patients in the treatment of angular deformities. Patients with Blount disease require a careful evaluation regarding the deformity, age, body weight, and social background to reach the optimal treatment strategy. If hemiepiphysiodesis fails, osteotomy remains the preferred salvage procedure.LEVEL OF EVIDENCE: IV.
AB - This systematic review sums up the state of knowledge about complications and reasons for failure when children with Blount disease are treated with temporary hemiepiphysiodesis. Twelve studies meet the inclusion criteria. The main reported obstacles were under correction and the poor predictability of the amount of correction that was obtainable. Obese patients with severe deformity are the most challenging groups of patients in the treatment of angular deformities. Patients with Blount disease require a careful evaluation regarding the deformity, age, body weight, and social background to reach the optimal treatment strategy. If hemiepiphysiodesis fails, osteotomy remains the preferred salvage procedure.LEVEL OF EVIDENCE: IV.
KW - Bone Diseases, Developmental
KW - Growth Plate
KW - Humans
KW - Orthopedic Procedures
KW - Osteochondrosis
KW - Treatment Failure
KW - Treatment Outcome
KW - Journal Article
KW - Review
U2 - 10.1097/BPB.0000000000000523
DO - 10.1097/BPB.0000000000000523
M3 - SCORING: Review article
C2 - 29889697
VL - 27
SP - 522
EP - 529
IS - 6
ER -