Objective: Our objective is to evaluate whether the use of guided growth with eight-plates is more effective than the use of Blount staples for the correction of the idiopathic genu varum or idiopathic genu valgum.
Methods: A systematic review (SR) was carried out according to the appropriate methodology for randomized clinical trials (RCTs). We searched seven databases through a previously defined methodology, and we included RCTs, regardless of language, period of publication and status of publication.
Results: Resulted in 6830 articles retrieved. Of theses, we identified 14 potential eligible studies. but just one RCT was included for the SR. The included RCT compares the eight-plate and the Blount staple and showed no statistically significant difference for the outcomes of time to correct the deformity, postoperative pain after 24 hours and postoperative pain after 72 hours. The study is of low or very low level of evidence to determine the most effective technique. We didn't find a RCT that compared the correction of the genu varum.
Conclusion: Good quality randomized clinical trials comparing Blount staples versus eight-plaque must be performed to determine which technique is superior for coronal plane corrections.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7405847 | PMC |
| http://dx.doi.org/10.1590/1413-785220202804233440 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Power of Advocacy in Global Neurosurgery.
Neurosurgery
January 2025
Department of Neurosurgery, Northwest School of Medicine, Peshawar , Pakistan.
Advocacy, one of the five domains of global neurosurgery, represents a powerful avenue to influence public policy to expand access to safe, timely, and affordable neurosurgical care. In this manuscript, we characterize advocacy in global neurosurgery, describe specific neurosurgeon-led initiatives, and delineate how neurosurgeons can become involved in global neurosurgery advocacy efforts. Advocacy in global neurosurgery involves working together in organized neurosurgery with organizations focused on clinical provisions, training, and policy initiatives.
View Article and Find Full Text PDFGuided growth surgery for angular deformity of the knee: one centres experience.
Ir J Med Sci
December 2024
Department of Trauma and Orthopaedic Surgery, Children's Health Ireland, Crumlin, Cooley Rd, Dublin, D12 N512, Ireland.
Article Synopsis
- Angular deformity in the lower limbs can lead to pain, mobility issues, and joint damage, with guided growth now favored over previous treatments for young patients.
- A review of data from a pediatric center from 2007 to 2023 found that out of 282 treated knees, 19.5% experienced treatment failure, particularly in cases involving trauma, infection, tumors, and certain genetic disorders.
- Overall, guided growth achieved an 80.5% success rate, especially effective for idiopathic cases, and continues to be recommended for managing angular deformities.
Staples, tension-band plates, and percutaneous epiphysiodesis screws used for leg-length discrepancy treatment: a systematic review and proportional meta-analysis.
Acta Orthop
July 2024
Interdisciplinary Orthopedics, Aalborg University Hospital.
Background And Purpose: The primary aim of this systematic review and meta-analysis was to evaluate the success rate of 3 different epiphysiodesis techniques with implant usage for the treatment of leg-length discrepancy (LLD) in the pediatric population. The secondary aim was to address effectiveness (final LLD) and the reported complications of staples, tension-band plates (TBP), and percutaneous epiphysiodesis screws (PETS).
Methods: In this systematic review we searched MEDLINE (PubMed), Embase, Cochrane Library, Web of Science and Scopus for studies on skeletally immature patients with LLD treated with epiphysiodesis with an implant.
Guided growth: angular deformity correction through temporary hemiepiphysiodesis with a novel flexible staple (FlexTack).
Bone Joint J
March 2023
Paediatric Orthopaedics, Deformity Reconstruction and Foot Surgery, Muenster University Hospital, Muenster, Germany.
Temporary hemiepiphysiodesis (HED) is applied to children and adolescents to correct angular deformities (ADs) in long bones through guided growth. Traditional Blount staples or two-hole plates are mainly used for this indication. Despite precise surgical techniques and attentive postoperative follow-up, implant-associated complications are frequently described.
View Article and Find Full Text PDFWITHDRAWN: The Role of Neurosurgeons in Global Public Health: The Case of Folic Acid Fortification of Staple Foods to Prevent Spina Bifida.
World Neurosurg
January 2023
Department of Neurosurgery, University of Tennessee Health Sciences Center, Memphis, Tennessee, USA.
The Publisher regrets that this article is an accidental duplication of an article that has already been published, http://doi.org/10.1016/j.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!