Hi Welcome to the HCM Conservative treatment can be an option in early onset Blount disease and consists of brace treatment. Brace therapy should be attempted in all children younger than 2.5 years with stage I or II disease. Ambulatory bracing with an above-the-knee orthosis has been shown to prevent progression of disease. Bracing has been shown to correct both the varus deformity and the pathologic proximal-medial tibial growth disturbance.[18] If the disease continues to progress to stage III with brace treatment, it will no longer be effective. Other risk factors for failure of brace treatment include obesity, varus thrust, age older than 3 years at initial treatment, and bilateral disease.