日本リウマチ・関節外科学会雑誌
Online ISSN : 1884-9059
Print ISSN : 0287-3214
ISSN-L : 0287-3214
Blount病, くる病のO脚に対する短下肢型矯正装具療法の成績
吉田 修之腰野 富久斉藤 知之金 俊男町田 治郎三橋 成行根上 茂治木下 裕功
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1988 年 7 巻 3 号 p. 473-480

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Severe bowlegs due to Blount's disease (9 knees) and rickets (8 knees) were treated with a short leg corrective brace. The femora-tibial angle (FTA), and the degrees of tibia vara and femora vara were measured on standing antero-posterior roentgenograms. If the FTA was more than 195°or the tibia vara was more than 15°, short leg corrective braces were indicated. The braces were applied around the clock except during bathing. Radiographic examination was done every 2 months, and the change of the FTA and tibia vara was observed. In both diseases, the FTA was improved followed by the correction of the tibia vara. The duration of the bracing was from 5 to 12 months, an average of 9.1 months, in the case of Blount's disease and 14 to 35 months, an average 30.6 of months in the case of rickets. In the patient with rickets who did not respond to medical therapy, the application of the brace was prolonged.

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