Treatment Strategies

Treatment for Blount’s Disease will depend on the age of diagnosis. Infantile, juvenile, and adolescent Blount’s Disease each possess independent treatment approaches.

External Fixation vs. Internal Fixation for Blount's Disease

Deformity correction for angulation and rotation can be achieved with internal or external fixation. Limb lengthening combined with deformity correction is usually performed with external fixation. This is changing with the use of the PRECICE intramedullary nail.  The deformity correction can be carried out with internal fixation simultaneous or sequentially with the lengthening being carried out with the implantable nail.  

At the Paley Institute, we perform all of these options. These options are discussed with each patient to come up with a treatment plan that is best suited for each individual.

Prognosis

Blount’s disease has an excellent prognosis if recognized and treated early.  Even when recognized late, the reconstructive methods pioneered at the Paley Institute, including hemi-plateau elevation combined with metaphyseal tibial osteotomy, the prognosis remains excellent even in late advanced cases. We have treated patients with almost 90-degree angular deformities from Blount’s disease, severe plateau depression, joint laxity, and significant leg length discrepancy to result in a normal knee with equal limb length and stable joints.

As long as the joint cartilage is not compromised, the final prognosis should be excellent.  We recommend the patients seek early attention for tibial vara and prefer patients to be referred to us for such evaluation and treatment as soon as possible.  We offer every type of treatment, from the simplest to the most complicated, and produce outcomes that restore the alignment, length, and joint function to normal.

Next Page: Treatment for Infantile Blount's Disease