Deformity correction with submuscular plating technique in children

Abstract

The results of femoral or tibial deformities corrected with the submsucular plating technique were evaluated. Nineteen deformities of 16 patients (mean age 9.8 years) were included. Through percutaneous corrective osteotomy, submuscular plating was carried out with locking plate. All deformities were successfully corrected and united without bone grafts in an average of 12 weeks. The average correction of deformity was 22.5 degrees . Except one patient of complex deformity, most patients recovered the desired alignment without major complications. Submuscular plating may be an effective alternative for treating deformities in children, providing adequate stability without disadvantages of external fixator or intramedullary nail.

Distal Femoral Osteotomy: Is Internal Fixation Better than External?

“…The most common postoperative problem encountered was painful hardware, and seven patients treated with a locking plate experienced pain, which led to hardware removal at an average of 10 months after surgery. Despite this, several studies show rigid internal fixation is used extensively in patients after DFOs [1,18,21,22,42]. Our results are corroborated by Keast-Butler and Schemitsch's review of fixation techniques, where they found no evidence supporting internal fixation with plates over external fixation after distal radial fractures [10].…”

“…This corroborates with other studies [1,21,22,29,37,42,43]. However, we would like to highlight one patient (age 64 years) who presented with a MAD of 55 mm lateral and a dynamic deformity with joint line obliquity and lax collateral ligaments.…”

“…This concurs with other series, such as the series of Oh et al [21] that included 19 limbs that were corrected using a locking plate and there was no loss of adjacent joint ROM when measured at last followup. Higher rates of adjacent joint stiffness were reported in other studies [3,15,40,41].…”

Winkelstabile Implantate zur Osteosynthese nach Korrekturosteotomien in der Kinder- und Neuroorthopädie

“…Results: Seven of the treated patients suffered from neurological disorders such as cerebral palsy or spina bifida, 9 patients had diseases with local or systemic alteration of their bone metabolism such as vitamin D deficiency and phosphate diabetes. The average age of the patients at the time of surgery was 11.18 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) years. Implant-associated complications were not seen in this patient group, especially no implant failures.…”

“…In der Kinderund Jugendtraumatologie gibt es Ansätze, die Vorteile der winkelstabilen Systeme ebenfalls zu nutzen [15,16]. Literatur zur winkelstabilen Versorgung bei kinderorthopädischen Operationen ist rar [17,18]. Diese Untersuchung zeigt anhand einer Fallserie die Ergebnisse nach winkelstabiler Osteosynthese von Korrekturosteotomien der unteren Extremität.…”