TREATMENT OF GENU VALGUM IN CHILDREN METHOD OF TEMPORARY HEMIEPIPHYSIODESIS USING EIGHTPLATES: SHORT-TERM OUTCOME

Faculty Medicine Year: 2020
Type of Publication: ZU Hosted Pages: 10
Authors:
Journal: American Research Journal of Orthopedics and Traumatology American Research Journal of Orthopedics and Traumatology Volume:
Keywords : TREATMENT , GENU VALGUM , CHILDREN METHOD OF TEMPORARY    
Abstract:
Background: Angular deformities of the lower extremities cause activity-related pain, altered gait mechanics, and joint instability, and these are exacerbated by periods of growth. Conservative usually fails to correct deformity; correction of deformity by hemiepiphysiodesis has become the standard surgical technique of treatment. Objective: The aim of this study to evaluate temporary hemiepiphysiodesis around the knee to modulate growth with eight-Plate technique in patient with genu valgum. Material and method: A prospective study between January 2015 and December 2019, we evaluated the patients as a single group to assess the effectiveness of temporary hemiepiphysiodesis as a method of correction of genu valgum. The study included 29 patients with one patient was male and had unilateral valgus left knee and was lost in the follow up after removal of the plate and the remaining 28 patients were 22 bilateral 78.6% and 6 unilateral 22.4% (50 knees) four patients with right side14.3% and two patient left side 7.1% with coronal genu valgum deformity indicated for surgical treatment. There were 19 boys (67.8%) and 9 girls (32.2%) and all of them were treated by temporary hemiepiphysiodesis using eight-plate technique. The mean average age of the children at a time of the operation was 7.8±2.3`years (range, 4–12.5 years). Result: The entire patient had complete correction of the deformity. The mean follow-up was 31±7.8 months (range 20-48 months) after plate removal. Two patients reached skeletal maturity at the final follow up. The eightplates were inserted on the medial distal femur (MDF) in 6 patients (21.4%), in proximal tibia (MPT) in 6 (21.4%) patients and on both femur and tibia (MPT+MDF) in 16 patients (57.2%). All patients achieved complete deformity correction after plate removal mean duration 19±4.6 months (14-29 months) and the mean Intermalleolar distances before the procedure was 19.2±4.3 changed postoperative to 1.2±1 with P. value > 0.001 and the mean mLDFA changed from 79.2±5 to 87.2±1.5 and the P. value > 0.001 after the procedure. Conclusion: Temporary hemiepiphysiodesis using eight-Plates is a delicate, straight forward and successful strategy used to treat genu valgum by modulating growth. Slight overcorrection is alluring because of the rebound phenomenon, particularly in young patients with high development potential and risk groups, for example, obese children.
   
     
 
       

Author Related Publications

  • Emad Alsayed Mohamed Abdelhady, "Use of Headless Screws for the Treatment of Type IV Capitellum Fractures in Adults", Journal of Orthopedic Research and Therapy, 2020 More
  • Emad Alsayed Mohamed Abdelhady, "Surgical Treatment of Congenital Hallux Varus", جمعية جراحة العظام, 2011 More
  • Emad Alsayed Mohamed Abdelhady, "Treatment of Neglected Monteggia Fracture Dislocation in Children", جمعية جراحة العظام, 2012 More
  • Emad Alsayed Mohamed Abdelhady, "Surgical treatment of late presented fracture neck femur in children", جمعية جراحة العظام, 2011 More
  • Emad Alsayed Mohamed Abdelhady, "Modified Hoffer technique for treatment of internal rotation deformity in obstetric brachial plexus palsy", جمعية جراحة العظام, 2013 More

Department Related Publications

  • Mohamed Mansour Mohamed Mansour, "Results of Angular Knee Deformities Treated with Temporary Hemiepiphysiodesis by Eight-Plate", American Research Journal of Orthopedics and Traumatology, 2018 More
  • Sherif Mohamed Mousttafa, "Short term results of radial Lengthening and acute deformity correction by circular fixator in post-traumatic distal radius physeal growth arrest.", klower walter, 2021 More
  • Tarek Abdelsamad Ibrahim Elhewala, "Posterior Short Segment Pedicle Screw Fixation with Application of Pedicle Screws at the Fractured Level in Thoracolumbar Burst Fracture", ECTES conference 2015, Amesterdam, 2015 More
  • Ashraf Abdeldaiem Mohamed Abdeldaiem, "RETROGRADE INTRAMEDULLARY NAIL FIXATION FOR FRACTURE HUMERAL SHAFT IN ADULTS", MEDICAL JOURNAL, 2007 More
  • Mohammed Abdeen Hassanein Emara, "Outcomes of medial eight plating in idiopathic genu valgum", جمعية جراحة العظام المصرية, 2017 More
Tweet