Outcome analysis of surgery for Blount disease

Journal of Pediatric Orthopedics
Jerome K JonesIan R Hambleton

Abstract

The purpose of this study was to evaluate the results of surgery for Blount disease using a patient-derived outcome assessment. Our hypothesis was that an outcome score that quantitates the patient's level of satisfaction should correlate with specific ranges of correction for those radiologic variables traditionally used to evaluate Blount disease. The surgeon's aim should be to realign abnormal preoperative geometry to achieve those ranges that have a significant correlation with good outcome. Medical records from 2 hospitals (Barbados and Trinidad) were reviewed and patients who had surgery for Blount's from 1997 to 2005 were identified and recalled. Responders completed a Blount's Outcome Questionnaire, were examined clinically, and standing radiographs were taken. The questionnaire was designed by modifying the AAOS Pediatrics-Parent/Child Outcome Instrument. Linear regression was used to assess the predictive effect of selected radiographic measures on a visual analog pain score and satisfaction score calculated from the questionnaire. The model was adjusted for confounders: country, age at the time of study, sex, body mass index, and years postsurgery. Variables in the adjusted model achieving significance at P<0.05 were...Continue Reading

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Citations

Mar 27, 2013·Pediatric Radiology·Randheer ShailamJ Herman Kan
Jan 17, 2014·Journal of Children's Orthopaedics·Brad A CulottaThomas Sellers
May 13, 2014·International Orthopaedics·Perajit EamsobhanaKittipong Yusuwan
Dec 2, 2014·The Orthopedic Clinics of North America·Sanjeev Sabharwal
Oct 2, 2013·Journal of Children's Orthopaedics·Andreas Gkiokas, Emmanuel Brilakis
Dec 28, 2016·Journal of Pediatric Orthopedics·Stephanie W MayerRobert D Fitch
Jun 28, 2019·Orthopaedic Surgery·Tinh LaoharojanaphandPerajit Eamsobhana
Jan 15, 2015·Journal of Pediatric Orthopedics. Part B·Alexander M CherkashinAna L Munhoz Da Cunha
Jan 21, 2011·The Journal of Bone and Joint Surgery. American Volume·Sanjeev SabharwalReggie C Hamdy
Jul 15, 2015·Journal of Pediatric Orthopedics. Part B·Steven M RiveroSanjeev Sabharwal
Apr 11, 2019·Journal of Pediatric Orthopedics·Stephanie W MayerRobert D Fitch
Apr 18, 2020·Orthopaedic Surgery·Piyanuch Musikachart, Perajit Eamsobhana

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