Blount's Disease : A Case Report

Introduction: Blount disease, also known as tibia vara, is an acquired genu varus deformity in children that develops due to excessive compressive forces on the proximal medial metaphysis of the tibia, leading to altered enchondral bone formation. Epidemiology very rarely cases have been reported from Indian subcontinent. A 20-years-ol Presentation of Case: d male presented with deformity in both the legs and altered walking pattern for the past 10 years: On examination there was 16 degrees of varus deformity in both the knees. There was 25 degrees of internal tibial torsion bilaterally. The patient was managed by surgical intervention. Oblique proximal high tibial osteotomy was done bilaterally. Fixation was done with anatomical medial columnar T-Plates on both sides and immobilisation was done in above knee plaster cast. Patient recovered well with correction of deformity and could walk with normal gait pattern. The cause of Discussion: Blount's disease is still not well established. Treatment depends upon age at presentation, severity of varus deformity as determined by Langenskiold staging, and progression of the disease. Early intervention is required to avoid progression of the disease and permanent deformity.Options include knee-ankle-foot orthoses (KAFOs), corrective proximal tibial osteotomies with either acute or gradual xation, and hemiepiphysiodesis. Blount's disease is a very rarely encountered condition in Indian subcontinent b Conclusion: ut has a characteristic presentation. It should be included in differential diagnosis in cases presenting with pathological bowing of legs and Other potential diagnoses on the differential include rickets, Ollier disease, proximal tibial physeal injury resulting from trauma, radiation, or infection, osteomyelitis, metaphyseal chondrodysplasia. Radiological ndings and normal blood biochemistry can guide us towards the diagnosis of Blount's disease.