Hemiepiphysiodesis for Idiopathic Genu Valgum: Percutaneous Transphyseal Screw Versus Tension-band Plate

被引:24
|
作者
Park, Hoon [1 ]
Park, Minjung [3 ]
Kim, Sung Min [1 ,2 ]
Kim, Hyun Woo
Lee, Dong Hoon [2 ]
机构
[1] Yonsei Univ, Coll Med, Gangnam Severance Hosp, Dept Orthopaed Surg, Seoul, South Korea
[2] Yonsei Univ, Coll Med, Severance Childrens Hosp, Div Orthopaed Surg, 50 Yonsei Ro, Seoul 03722, South Korea
[3] Natl Hlth Insurance Serv Ilsan Hosp, Dept Orthopaed Surg, Goyang, South Korea
关键词
hemiepiphysiodesis; transphyseal screw; tension-band plate; genu valgum; ANGULAR DEFORMITY CORRECTION; MEDIAL MALLEOLAR SCREW; GUIDED GROWTH; ANKLE VALGUS; TEMPORARY HEMIEPIPHYSIODESIS; KNEE; EPIPHYSIODESIS; CHILDREN; 8-PLATE; LENGTH;
D O I
10.1097/BPO.0000000000000821
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background:The aim of this study was to compare the outcomes of angular deformity correction by percutaneous hemiepiphysiodesis using transphyseal screw (PETS) or tension-band plating (TBP) in growing children with idiopathic genu valgum with emphasis on the rate of deformity correction.Methods:We retrospectively reviewed cases of hemiepiphysiodesis for angular deformity in lower extremities between 2009 and 2014. A total of 90 limbs in 33 patients received PETS and 60 limbs in 24 patients received TBP. Angular measurements were compared preoperatively and at the time of hardware removal. The amount and rate of angular deformity correction were compared between the 2 groups. Potential factors affecting correction velocity were investigated using multivariate analysis.Results:Angular correction was achieved in all patients. The mean rate of correction was more rapid with PETS than with TBP at both the distal femur (0.92 vs. 0.64 deg./mo, respectively; P<0.001) and proximal tibia (0.72 vs. 0.55 deg./mo, respectively; P=0.019). Multivariate analysis showed that the used implant significantly affected the rate of correction: PETS demonstrated faster correction velocity than TBP (-0.26, 95% confidence interval, -0.35 to -0.17, P<0.001).Conclusions:Both PETS and TBP techniques result in satisfactory correction of coronal angular deformity in patients with idiopathic genu valgum. However, the observed rate of correction was faster with PETS than TBP. Correction with PETS, rather than TBP, may better serve patients near skeletal maturity.Level of Evidence:Level IIIretrospective comparative series.
引用
收藏
页码:325 / 330
页数:6
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