Document Detail

Correcting genu varum and genu valgum in children by guided growth: temporary hemiepiphysiodesis using tension band plates.
MedLine Citation:
PMID:  20130322     Owner:  NLM     Status:  MEDLINE    
A total of 25 children (37 legs and 51 segments) with coronal plane deformities around the knee were treated with the extraperiosteal application of a flexible two-hole plate and screws. The mean age was 11.6 years (5.5 to 14.9), the median angle of deformity treated was 8.3 degrees and mean time for correction was 16.1 months (7 to 37.3). There was a mean rate of correction of 0.7 degrees per month in the femur (0.3 degrees to 1.5 degrees ), 0.5 degrees per month in the tibia (0.1 degrees to 0.9 degrees ) and 1.2 degrees per month (0.1 degrees to 2.2 degrees ) if femur and tibia were treated concurrently. Correction was faster if the child was under 10 years of age (p = 0.05). The patients were reviewed between six and 32 months after plate removal. One child had a rebound deformity but no permanent physeal tethers were encountered. The guided growth technique, as performed using a flexible titanium plate, is simple and safe for treating periarticular deformities of the leg.
M S Ballal; C E Bruce; S Nayagam
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  92     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-04     Completed Date:  2010-02-25     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  273-6     Citation Subset:  AIM; IM    
The Royal Liverpool Children's NHS Trust, Liverpool L12 2AP, UK.
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MeSH Terms
Age Factors
Bone Plates*
Child, Preschool
Epiphyses / growth & development,  surgery*
Follow-Up Studies
Genu Valgum / surgery*
Genu Varum / surgery*
Prospective Studies
Stress, Mechanical
Reg. No./Substance:

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