Guided hemiepiphysiodesis with eight plates in the correction of genus valgum in pediatric patients
Keywords:
angular deformity of the knee, genus valgum, hemiepiphysiodesis, sheet of eightAbstract
Introduction: Valgus deformities of the lower limbs in children and adolescents are a frequent reason for consultation in orthopedic practice. They are characteristics of regional evolution with growth and, therefore, they are underestimated. Surgical treatment seeks to correct the deformity.
Objective: To determine the effectiveness of guided hemiepiphysiodesis with a figure-of-eight plate in the correction of genus valgum in pediatric patients.
Methods: An observational, descriptive, case series type investigation was carried out in 29 patients with genus valgum (58 physis) at William Soler Ledea University Pediatric Hospital from January 2018 to March 2020. Guided hemiepiphysiodesis was applied with plate in eight.
Results: The deformity was more frequent in females. All patients corrected the deformity, and 10.3 % of the sample presented complications.
Conclusions: The effectiveness of the application of guided hemiepiphysiodesis with a figure-of-eight plate in the genus valgum of pediatric patients was demonstrated.
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1. Burghardt RD, Specht SC, Herzenberg JE, MD Mechanical failures of eight-plate guided growth system for temporary hemiepiphysiodesis. J Pediatr Orthop. 2010;30(6):594-7. DOI: https://doi.org/10.1097/bpo.0b013e3181e4f591
2. Masquijo JJ, Lanfranchi L, Torres A, Allende V. Guided growth with the tension band plate construct: a prospective comparison of 2 methods of implant placement. J Pediatr Orthop. 2015;35(3):e20-5. DOI: https://doi.org/10.1097/bpo.0000000000000263
3. Stevens PM, Maguire M, Dales MD, Robins AJ. Physeal stapling for idiopathic genu valgum. J Pediatr Orthop 1999 [acceso 01/10/2022];19(5):645-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/10488868/
4. Stevens PM. Guided growth for angular correction: a preliminary series using a tension band plate. J Pediatr Orthop. 2007;27(3):253-9. DOI: https://doi.org/10.1097/bpo.0b013e31803433a1
5. Oda JE, Thacker MM. Distal tibial physeal bridge: a complication from a tension band plate and screw construct. Report of a case. J Pediatr Orthop Br. 2013;22(3):259-63. DOI: https://doi.org/10.1097/bpb.0b013e32834f0477
6. Ballal MS, Bruce CE, Nayagam S. Correcting genu varum and genu valgum in children by guided growth. J Bone Joint Surg Br. 2010;92(2):273-6. DOI: https://doi.org/10.1302/0301-620x.92b2.22937
7. Burghardt RD, Herzenberg JE. Temporary hemiepiphysiodesis with the eight-plate for angular deformities: mid-term results. J Orthop Sci. 2010;15(5):699-704. DOI: https://doi.org/10.1007/s00776-010-1514-9
8. Goyeneche RA, Primomo CE, Lambert N, Miscione H. Correction of bone angular deformities: experimental analysis of staplesversus 8-plate. J Pediatr Orthop. 2009;29(7):736-40. DOI: https://doi.org/10.1097/bpo.0b013e3181b529fc
9. Gordon JE, Chen RC, Dobbs MB, Luhmann SJ, Rich MM, Schoenecker PL. Interobserver and intraobserver reliability in theevaluation of mechanical axis deviation. J Pediatr Orthop. 2009;29(3):281-4. DOI: https://doi.org/10.1097/bpo.0b013e31819b9188
10. Zajonz D, Schumann E, Wojan M, Kübler F, Josten C, Bühligen U, et al. Treatment of genu valgum in children by means of temporary hemiepiphysiodesis using eight-plates: short-term findings. BMC Musculoskelet Disord. 2017;18(1):456. DOI: https://doi.org/10.1186/s12891-017-1823-7
11. Chang FM, Ma J, Pan Z, Hoversten L, Novais EN. Rate of correction and recurrence of ankle valgus in children using a transphyseal medial. J Pediatr Orthop. 2015;35(6):589-92. DOI: https://doi.org/10.1097/bpo.0000000000000333
12. Corominas L, Sanpera I, Saus C, Tejada S, Sanpera J, Frontera JG. Rebound growth after hemiepiphysiodesis: an animal-based experimental study of incidence and chronology. Bone Joint J. 2015;97-B(6):862-8. DOI: https://doi.org/10.1302/0301-620x.97b6.34822
13. Ballal MS, Bruce CE, Nayagam S. Correcting genu varum and genu valgum in children by guided growth: temporary hemiepiphysiodesis using tension band plates. J Bone Joint Surg Br. 2010;92(2):273-6. DOI: https://doi.org/10.1302/0301-620x.92b2.22937
14- Hardgrib N, Gottliebsen M, Rahbek O, Hellfritzsch M, Moller-Madsen B. Correlación de la medición radiológica y clínica del genu valgo en niños. Rev Méd Dan. 2018 [acceso 01/10/2022];65(5). Disponible en: https://www.researchgate.net/publication/328040883_Correlation_of_radiological_and_clinical_measurement_of_genu_valgum_in_children
15. Walker JL, White H, Murr K, Milbrandt T, Talwalkar V, Iwinsky H, et al. Idiopathic genu valgum y su asociación con la obesidad en niños y adolescentes. J Pediatr Orthop. 2019;39(7):347-52. DOI: https://doi.org/10.1097/bpo.0000000000000971
16. Rivera O, Coronel EF, Telenchana PF, Jaramillo C. Genu Valgo: un reto inquientante para el ortopedista. Rev Ecuat Pediatr. 2019 [acceso 01/10/2022];20(1):63-6. Disponible en: https://docs.bvsalud.org/biblioref/2019/08/1010316/revista-pediatria-vfinal-65-68.pdf
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