Article

Infantile tibia vara is an acquired form of tibial deformity
associated with tibial varus and internal torsion. Several methods have been
described for orthotics treatment. The purpose of this study was to determine the
effectiveness of orthotics treatment in infantile tibia vara. Study design:
Controlled trial. Objective: The aim of this study was to compare the effect of
different types of orthoses and correction methods on decreasing the curve in
children with severe genu varum. Methods: Three different types of
knee-ankle-foot orthoses were applied to 35 lower extremities of 22 pediatric
participants who were 19-38 months of age. The same orthotic design principles
were used to correct the femur, while different designs were applied to correct
the tibia. The orthoses used on 20 participants were evaluated for differences
among them and their effects on the treatment process. In addition, methods used
in the treatment, problems encountered, production of different types of
orthoses, convenience of application of the orthoses, and degree of patients
satisfaction are discussed in this article. Results: The mean duration of
treatment of the participants until completion of treatment was 25.3 +/- 9.7
weeks with a minimum of 9 weeks and a maximum of 41 weeks. No statistically
significant correlation was found between the duration of orthotic use in
patients with a successful outcome and percentile height and percentile weight.
When the duration of treatment using the different types of orthoses was
analyzed, significant differences were found between Type 1 and Type 2, and Type
1 and Type 3 orthoses (p < 0.05), while no difference was observed between Type 2
and Type 3 orthoses (p > 0.05). Conclusion: We found that bracing is an effective
form of treatment for infantile tibia vara up to 38 months of age. We conclude
that full-time use of knee-ankle-foot orthoses exerting corrective forces from
five points along the full length of the limb was effective. Clinical relevance:
The localization of the distal tibial correction, the quality of the midtibial
correction band, and the importance of the application of corrective forces from
five points with rigid methods were found.

Langue : ANGLAIS