Home > DARE Reviews > Acute versus gradual correction of...
  • We are sorry, but NCBI web applications do not support your browser and may not function properly. More information

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews.

Acute versus gradual correction of idiopathic tibia vara in children: a systematic review

Review published: 2009.

Bibliographic details: Gilbody J, Thomas G, Ho K.  Acute versus gradual correction of idiopathic tibia vara in children: a systematic review. Journal of Pediatric Orthopaedics 2009; 29(2): 110-114. [PubMed: 19352233]

Quality assessment

This review compared acute versus gradual correction of childhood tibia vara (a rare acquired deformity of the tibia), and concluded that there was little evidence to recommend either form of correction. Despite some shortcomings in the reporting of the review process, the authors' cautious conclusion appears to be reliable. Full critical summary

Abstract

BACKGROUND: Idiopathic tibia vara (Blount disease) is an acquired form of tibial deformity found mainly in children who are Afro-Caribbean and obese. It is uncommon. Several methods have been described for the surgical treatment of this condition, which can be categorized as either acute or gradual correction. The aim of this study is to review the evidence comparing the outcome of acute versus gradual correction of childhood tibia vara using accuracy of reduction as the primary outcome measure.

METHODS: A systematic search was made of the literature across multiple databases to find all studies describing acute or gradual correction of this condition that reported radiographic correction as an outcome measure.

RESULTS: One retrospective comparative series was found that provided weak evidence of an improvement in mechanical axis deviation using gradual correction with a Taylor Spatial Frame compared with acute correction. Seventeen other case series were found, from which, there was no evidence of an advantage for either form of treatment.

CONCLUSIONS: There is very little evidence to recommend one form of correction over the other.

LEVEL OF EVIDENCE: Systematic review of case series (level IV).

CRD has determined that this article meets the DARE scientific quality criteria for a systematic review.

Copyright © 2012 University of York.

PubMed Health Blog...

read all...

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...