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Bilateral tibia and fibular osteotomies
48%
214/444
Valgus positioning knee-ankle-foot orthosis (KAFO)
26%
115/444
Use of a Denis-Browne bar
2%
9/444
Schedule a return visit in 4 months
23%
102/444
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The radiograph shows advanced changes in the medial tibial growth plates. The metaphyseal-diaphyseal angle is more than 20 degrees. With these advanced changes, an osteotomy is indicated. Waiting will allow the problem to increase. Bracing (KAFO or night bar) has not been shown effective in advanced Blount disease.
2.3
(12)
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