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Corrective osteotomy of bow-legs was performed in osseous-dystrophy, three boys and a girl (four to fourteen years old), and Blount'disease, a girl (four years old), who were all accompanied by excessive knee joint laxity.One case received corrective osteotomy after epiphyseal closure, and the other case received second osteotomy after recurrence after epiphyseal closure, had eventually no recurrence of bow-legs and obtained stable gait, more ability to walk and painless knee, but joint laxity was not improved.All the cases with insufficient correction before epiphyseal closure, had recurrence of bow-legs, but obtained stable gait etc. for a given period of time.However one case with sufficient correction before epiphyseal closure, had no recurrence and obtained stable gait etc. as well as improvement of joint laxity.Therefore, the sufficient correction before epiphyseal closure is worthwhile for severe bow-leged children.
西日本整形・災害外科学会の論文