Factors affecting the outcome in the correction of angular deformities around the knee using extraperiosteal tension band plate: A local experience

Gaboura, Munzir I. A.; Kazi, Kabiruddine; Abak, Alshahid A.; AlRumaih, Mohamed; AlKenani, Adel

doi:10.4103/jmsr.jmsr_42_20

Cited by 2 publications

(2 citation statements)

References 1 publication

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“…This is contrasting the results of Gaboura et al which concluded that generally, genu valgum had a better and faster correction than genu varus. [7] Another contrasting evidence supporting the effect of type of deformity on rate of correction was reported by EL-Sobky TA et al in their prospective series on growth modulation for knee coronal plane deformities in children with nutritional rickets, found that valgus knees demonstrated a signi cantly high speed of correction of TFA in contrast to varus knees. These radiographic improvements correlated positively with the clinical outcomes.…”

Section: Discussionmentioning

confidence: 94%

Two-Holes Reconstruction Plate for Correction of Coronal Plane Deformities of the Knee in Children, Khartoum, 2020

Elbadri

Alrasheed

Alssir

et al. 2023

Preprint

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Background: Angular deformities of lower limb in Pediatric age group present very commonly to orthopedic and pediatric clinics, and it may be physiological or may be true deformities. [8] In the past, Osteotomies have been the mainstays of treating deformities even in children. Recently, guided growth techniques become widely used in management of coronal plan angular deformities around the knees. It is a less invasive technique compared to osteotomies. The results are more predictable and the process is reversible. The implants can be removed after the desired correction is achieved. To our knowledge, no such study had been done in Khartoum, Sudan. Purposes and questions: ''Does guided growth techniques using two hole reconstruction plate for the treatment of coronal plan deformities around the knee decrease joint deformity and growth retardation in children?'', does there is a correlation between the radiological outcomes and the type of deformity, and to identify the post-operative complications. Methods: This is a cross sectional descriptive hospital based study of 22 patients (30 limbs) gathered and treated during a period from 2018 to 2020 by a single surgeon employing a standardized technique. The inclusion criteria were all patients with coronal plane deformities around the knee with an open physis, regardless of pathological background. Patients with physiological genuvarum or genuvalgum or who had previous or concurrent surgeries for the same problem were excluded from the study. Patient’s age and gender were recorded. Mechanical axis deviation (MAD) distance, tibio‑femoral angle (TFA), mechanical lateral distal femoral angle, and mechanical medial proximal tibia angle were measured from a long standing anteroposterior radiograph, including the hip, knee and ankle joints. Results: The average age was 7.0±3.5 years, and the mean duration of treatment was 10.4 months, with “sick physis” requiring longer durations. There was significant association between types of deformity was associated, with gender with P value 0.003 which found that, majority of genuvarum deformity found in females and genuvalgum found in males. The mean rate of correction of TFA was 1.4°/month. The MAD distance improved from 34.1±18.0 to 9.8± 6.4. Conclusion: This study confirms that success rate by guided growth technique using two- hole reconstruction plate in management of coronal plane deformity around the knee is high. Younger patients had better and faster outcomes. The direction of the future research is on continuous follow up for those children for any rebound coronal plane deformity.

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Section: Discussionmentioning

confidence: 94%

Two-Holes Reconstruction Plate for Correction of Coronal Plane Deformities of the Knee in Children, Khartoum, 2020

Elbadri

Alrasheed

Alssir

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…The current reports on hemi-epiphysiodesis recommend the careful selection of candidates, as the failure rate can be as high as 33% in type ≤2 (Langenskiold classification) and 100% failure in type ≥3. 8 , 9 The recurrence rate after proximal metaphyseal osteotomy mounts to 46% in patients younger than 4 years and 92% in older patients. 10 The first intra-epiphyseal osteotomy was performed by Storen H 11 and reported in 1969 with an 18-year follow-up; the same case was re-reported in 2018, with a 65-year follow-up.…”

Section: Introductionmentioning

confidence: 99%

Acute "three-in-one" surgery for the treatment of severe Blount's disease: Surgical technique and report of two cases

Abak

Khoshhal

2020

Journal of Taibah University Medical Sciences

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The treatment of Blount's disease has historically remained controversial. All the described techniques for its treatment have their own advantages and disadvantages, and no consensus has been reached on a single surgical approach. The aim of this report is to share the early results of a combination technique in which we have collated three well-known surgical steps in one procedure. This combined procedure is indicated for severe and recurrent cases. Our ‘three-in-one’ technique combines an intra-epiphyseal plateau elevating osteotomy with a tibial metaphyseal osteotomy and a lateral tibial temporary hemi-epiphysiodesis. We also report initial results of three limbs in two patients who were treated using this technique. The first case was that of an adolescent with severe left Blount's disease (Langenskiold stage IV) and a lateral thrust. The second case was that of bilateral severe infantile Blount's disease (Langenskiold stage V) and the infant had a lateral thrust. All measurements remarkably improved in both patients during the post-surgical assessment. The limb length discrepancy was 0.6 cm in the first case and 0.5 cm in the second. The preoperative internal tibial rotation and lateral thrust were corrected spontaneously. No complications were recorded in either patient. The three-in-one technique is a safe and versatile surgical approach that can be used in severe, refractory, and recurrent cases of open physis. Furthermore, it can potentially solve the problems of lateral thrust and internal tibial rotation. More cases should be studied before we can endorse the safety and effectiveness of this technique.

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Factors affecting the outcome in the correction of angular deformities around the knee using extraperiosteal tension band plate: A local experience

Cited by 2 publications

References 1 publication

Two-Holes Reconstruction Plate for Correction of Coronal Plane Deformities of the Knee in Children, Khartoum, 2020

Two-Holes Reconstruction Plate for Correction of Coronal Plane Deformities of the Knee in Children, Khartoum, 2020

Acute "three-in-one" surgery for the treatment of severe Blount's disease: Surgical technique and report of two cases

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