Total Knee Arthroplasty in Patients with Blount Disease or Blount-Like Deformity Journal Article


Authors: Natoli, R. M.; Nypaver, C. M.; Schiff, A. P.; Hopkinson, W. J.; Rees, H. W.
Article Title: Total Knee Arthroplasty in Patients with Blount Disease or Blount-Like Deformity
Abstract: Blount disease is associated with complex deformity of the proximal tibia, and some patients will develop knee osteoarthritis. Five patients (eight knees) with Blount disease or Blount-like deformity underwent total knee arthroplasty. Mean proximal tibial metaphyseal-diaphyseal angle was 20.75 degrees . Each patient had substantial posteromedial tibial bony defects and six knees required extensive medial releases. Two knees required increased constraint at index procedure. One patient has undergone bilateral revision surgery with rotating hinge prostheses. Mean WOMAC scores were 13.5 and Knee Society scores were 212.5 at average 75.2 month follow-up. Despite technical challenges, patients with these deformities can have successful outcomes after total knee arthroplasty. Surgeons should be prepared to address posteromedial tibial bony defects and consider constrained arthroplasty at the index procedure.
Journal Title: The Journal of arthroplasty
ISSN: 1532-8406; 0883-5403
Publisher: Elsevier Inc  
Date Published: 2015
Language: ENG
DOI/URL:
Notes: LR: 20150804; CI: Copyright (c) 2015; JID: 8703515; OTO: NOTNLM; 2014/08/25 [received]; 2015/06/29 [revised]; 2015/07/07 [accepted]; aheadofprint
LUC Authors
  1. Harold Rees
    12 Rees
  2. Adam Schiff
    15 Schiff
Related LUC Article