Background: High cost of eight-plate makes it unavailable in many countries; therefore, developing an alternative device for temporary hemiepiphysiodesis of knee deformities in pediatrics is valuable. In this study, we compared the outcome of the eight-plate with the reconstruction-plate in this setting.
Methods: In this retrospective study, 109 skeletally immature patients (212 physes) who underwent temporary hemiepiphysiodesis to correct idiopathic genu valgum were included. The eight-plate and reconstruction-plate were used in 47 patients (90 physes) and 62 patients (122 physes), respectively. Outcome measures were the valgus angle, medial proximal tibial angle (MPTA), the lateral distal femoral angle (LDFA), the joint-line convergence angle (JLCA), and lower limb mechanical axis (LLMA).
Results: The baseline characteristics of the patients were comparable between the two plate groups. The mean follow-up of the patients was 32.9 ± 15.1 months. The mean MPTA change was 2.7 ± 3.7º in the eight-plate group and 2.1 ± 3.4º in the reconstruction-plate group (). The mean LDFA improvement was 8 ± 3.7º in the eight-plate group and 7.9 ± 3.5º in the reconstruction-plate group (=0.61). The mean valgus correction was 10.7 ± 4.4º in the eight-plate group and 10.4 ± 4.6º in the reconstruction-plate group (). Moreover, the mean change of JLCA was 0.7 ± 1.3º in the eight-plate group and 0.8 ± 1.3º in the reconstruction-plate group (). The postoperative LLMA was comparable between the two study groups as well. In total, five postoperative complications were recorded in this series, which included one case of screw loosening in each group, two cases of overcorrection, and one screw breakage in the reconstruction-plate group.
Conclusion: The radiologic results and complications of the reconstruction-plate are comparable with the eight-plate. Therefore, it can be safely and efficiently used in hemiepiphysiodesis to correct idiopathic genu valgum.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9382255 | PMC |
| http://dx.doi.org/10.22038/ABJS.2022.60663.2990 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Effectiveness of Temporary Hemiepiphysiodesis for Non-idiopathic Coronal Angular Deformity of the Knee in Children: A Comparison of Hinge Eight-Plate and Traditional Eight-Plate.
Orthop Surg
December 2024
Department of Pediatric Orthopedics, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Objective: Temporary hemiepiphysiodesis (TH) is a very common technique for coronal angular deformity of the knee in children, especially non-idiopathic. However, there is currently a dearth of comparative research on the hinge eight-plate (HEP) and traditional eight-plate (TEP). This study aimed to assess the clinical effectiveness and implant-related complication rates of TH using TEP and HEP for non-idiopathic coronal angular deformity, as well as to identify clinical factors affecting correction velocity.
View Article and Find Full Text PDFThe Influence of Temporary Epiphysiodesis of the Proximal End of the Tibia on the Shape of the Knee Joint in Children Treated for Leg Length Discrepancy.
J Clin Med
March 2024
Department of Paediatric Orthopaedics, Medical University of Lublin, 20-093 Lublin, Poland.
Leg length discrepancy (LLD) is a common problem in the daily clinical practice of pediatric orthopedists. Surgical treatment using LLD temporary epiphysiodesis with eight-plate implants is a minimally invasive, safe, and well-tolerated procedure that provides good treatment effects with a relatively low percentage of complications. The main aim of this retrospective study was to determine the effect of epiphysiodesis on the shape of the proximal tibia.
View Article and Find Full Text PDFMorphology of the knee after guided growth using tension-band devices: a retrospective multicenter study of 222 limbs and 285 implants.
Acta Orthop
December 2023
Children's Orthopedics and Reconstruction, Aarhus University Hospital, Denmark; Danish Pediatric Orthopedic Research, Aarhus University Hospital, Denmark; Pediatric Orthopedics, Deformity Reconstruction and Foot Surgery, Muenster University Hospital, Germany.
Article Synopsis
- - The study examined the effects of temporary hemiepiphysiodesis, a method used to correct limb deformities in children, on knee joint shape by analyzing x-rays from 222 limbs treated between 2013 and 2019.
- - Researchers measured various knee angles before and after the treatment, finding no significant changes in the overall knee joint shape, although some differences were noted between the two types of devices used (eight-Plates and FlexTacks).
- - The conclusion indicates that while minor changes in knee morphology were observed, they were deemed clinically insignificant for the patients involved in the study.
The Effect of Polishing, Glazing, and Aging on Optical Characteristics of Multi-Layered Dental Zirconia with Different Degrees of Translucency.
J Funct Biomater
January 2023
Department of Dental Prostheses Technology (Dental Technology), Center for Advanced Technologies in Dental Prosthodontics, Faculty of Dental Medicine, "Victor Babeș" University of Medicine and Pharmacy Timișoara, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania.
(1) Background: Considering that the appearance of a dental material is an important factor that contributes to the success of prosthetic restorations. The purpose of this study is to investigate the optical properties and color changes among the layers of three commercial zirconias, to compare the aspect of the polished and glazed surfaces before and after aging and to evaluate the effects of hydrothermal degradation on their aesthetics. (2) Methods: Forty-eight plate-shaped samples were sectioned from presintered blocks of each multilayer translucent zirconia with different Yttrium content: Ceramill Zolid fx ML (5 mol%) = CeZ, STML (4 mol%) = STM, IPS e.
View Article and Find Full Text PDFComparison of Eight-plate with Reconstruction-plate in Temporary Hemiepiphysiodesis to Correct the Idiopathic Genu Valgum in Pediatrics.
Arch Bone Jt Surg
July 2022
Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of medicine, Iran University of Medical Sciences, Tehran, Iran.
Background: High cost of eight-plate makes it unavailable in many countries; therefore, developing an alternative device for temporary hemiepiphysiodesis of knee deformities in pediatrics is valuable. In this study, we compared the outcome of the eight-plate with the reconstruction-plate in this setting.
Methods: In this retrospective study, 109 skeletally immature patients (212 physes) who underwent temporary hemiepiphysiodesis to correct idiopathic genu valgum were included.
Want 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!