Supplementum 3+4/2007 - Společnost pro pojivové tkáně

4. MOON MS. Tuberculosis of the spine: controversies
and a new challenge. Spine 1997,
p. 1791–1797.
5. WOOD GW. Infection of spine. In: Crenshaw
AH, ed. Campbell’s Operative Orthopaedics, 8th
ed. St. Louis: Mosby-Year Book, 1992; p. 3791–
3823.
6. HODGON AR: and Stock FE.: Anterior spinal
fusion. Br. J. Surg. 1956; 44: 266–275.
7. MOON MS, WOO YK, LEE KS, HA KY, KIM
SS.: Posterior instrumen- tation and anterior
interbody fusion for tuberculous Kyphosis of
dorsal and lumbar spines. Spine 1995; 20 (17) :
1910–1916.
ABSTRACT
BLOUNT DISEASE - ETIOLOGY
ACCORDING TO LUBLIN
OBSERVATION – CONNECTION
WITH THE „SYNDROME
OF CONTRACTURES AND
DEFORMITIES” OF PROF.
HANS MAU. TREATMENT AND
PROPHXYLAXIS AS A VERY
EARLY PREVENTIVE PROGRAM
AGAINST GONARTHROSIS
Karski T., Karski J., Matuszewski L., Kałakucki J.
Chair and Department of Pediatric Orthopedics
and Rehabilitation
Medical University of Lublin / Poland
20-093 Lublin, Chodźki 2 Street
tel. /fax 0048 / 81 / 741 56 53
E-mail: tkarski@dsk.lublin.pl
www.ortopedia.karski.lublin.pl
Introduction
The varus deformity of lower extremities
is a cosmetic problem in children. If
not treated properly it leads with time to
large joint pains and insufficiency in adults
and to serious problem of gonarthosis of
many people in many countries.
Etiopathogenesis of Morbus Blount
In many books till now the Morbus
Blount is described as necrosis of growth
plate in medial part of tibia or both
tibias. In Lublin we described the etiology
of this deformity (T. Karski, Z. Drabik,
J. Karski, E. Agbemey: Osteotomien in
der Behandlung von Kindern mit Crura
vara (M. Blount) Orthop. Praxis, Heft 9,
September 1994, 582–585). The etiological
causes are as follows:
a) too large varus deformity in newborns
(syndrome of contractures and
deformities – Hans Mau, T. Karski);
b) too early standing and walking of
babies, already in 7–8 month of life;
c) overweight;
d) insufficiency in Vit. D3 intake.
At the beginning every case of Morbus
Blount is bilateral. Later because of various
“standing” and “sitting” positions – good or
wrong – at different children one leg axis
can be corrected spontaneously.
Method of treatment
Since the beginning of activities of our
University Orthopedic Department in Lublin
in 1954 (Organizer and Head of Orthopedic
Department: Prof. S. Piątkowski) many children
with Morbus Blount underwent corrective
osteotomies of tibia and fibula.
302 The 9 th Prague-Sydney-Lublin Symposium