Distal femoral hemiepiphysiodesis with screws and suture versus 8-plate for the treatment of genu valgum in children
There are different techniques for gradual correction of angular deformities in lower limbs. The use of screws and non-absorbable filament have been described as an effective alternative for transitory hemiepiphysiodesis in pediatric population. In pediatric population with genu valgum there are no...
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| Veröffentlicht in: | Orthopaedics & traumatology, surgery & research surgery & research, 2019-06, Vol.105 (4), p.751-755 |
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| creator | Martínez, Gino Gündel, Alejandro Ruiz, Pablo Cañete, Ismael Hodgson, Felipe |
| description | There are different techniques for gradual correction of angular deformities in lower limbs. The use of screws and non-absorbable filament have been described as an effective alternative for transitory hemiepiphysiodesis in pediatric population.
In pediatric population with genu valgum there are no differences in outcome between hemiepiphysiodesis, using screws and non-absorbable filament (SNAF) versus 8-plate.
Retrospective evaluation, 44 knees in 22 patients younger than 15 years, with idiopathic genu valgum, were operated on. One group (20 knees) was operated on with 8-plate technique and another group (24 knees) was operated on with SNAF technique. Initial and final intermalleolar distance (IMD) and mechanical lateral distal femoral angle (mLDFA) were compared, registering complications for each group. Mann-Whitney test was used for statistics, with significance value |
| doi_str_mv | 10.1016/j.otsr.2019.02.019 |
| format | Article |
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In pediatric population with genu valgum there are no differences in outcome between hemiepiphysiodesis, using screws and non-absorbable filament (SNAF) versus 8-plate.
Retrospective evaluation, 44 knees in 22 patients younger than 15 years, with idiopathic genu valgum, were operated on. One group (20 knees) was operated on with 8-plate technique and another group (24 knees) was operated on with SNAF technique. Initial and final intermalleolar distance (IMD) and mechanical lateral distal femoral angle (mLDFA) were compared, registering complications for each group. Mann-Whitney test was used for statistics, with significance value <0.05.
All patients achieved the expected mechanical axis correction. IMD and mLDFA significatively improved. There were no significant differences in magnitude and speed of correction when comparing the two techniques. Only one SNAF patient had a minor perioperative complication.
This report compares postoperative results between SNAF and 8-plate technique for correction of angular deformities in lower limbs. In this series of patients, significant clinical and radiological changes were observed between the initial and final values using both techniques, with no significant differences between them. Our group proposes the SNAF technique as an efficient, simple and cost-effective alternative to the traditional 8-plate technique, for the treatment of idiopathic genu valgum in children.
III, retrospective comparative study.</description><identifier>ISSN: 1877-0568</identifier><identifier>EISSN: 1877-0568</identifier><identifier>DOI: 10.1016/j.otsr.2019.02.019</identifier><identifier>PMID: 31000342</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Adolescent ; Bone Plates ; Bone Screws ; Child ; Epiphyses - diagnostic imaging ; Epiphyses - surgery ; Epiphysiodesis ; Female ; Femur - diagnostic imaging ; Femur - growth & development ; Genu valgum ; Genu Valgum - diagnostic imaging ; Genu Valgum - surgery ; Growth plate ; Humans ; Male ; Retrospective Studies ; Surgical procedures ; Sutures</subject><ispartof>Orthopaedics & traumatology, surgery & research, 2019-06, Vol.105 (4), p.751-755</ispartof><rights>2019 Elsevier Masson SAS</rights><rights>Copyright © 2019 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-42db3561f0c5cad017444df67ad4fda64ade13792cdb9cf2410cc4552e2e862b3</citedby><cites>FETCH-LOGICAL-c400t-42db3561f0c5cad017444df67ad4fda64ade13792cdb9cf2410cc4552e2e862b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.otsr.2019.02.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31000342$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martínez, Gino</creatorcontrib><creatorcontrib>Gündel, Alejandro</creatorcontrib><creatorcontrib>Ruiz, Pablo</creatorcontrib><creatorcontrib>Cañete, Ismael</creatorcontrib><creatorcontrib>Hodgson, Felipe</creatorcontrib><title>Distal femoral hemiepiphysiodesis with screws and suture versus 8-plate for the treatment of genu valgum in children</title><title>Orthopaedics & traumatology, surgery & research</title><addtitle>Orthop Traumatol Surg Res</addtitle><description>There are different techniques for gradual correction of angular deformities in lower limbs. The use of screws and non-absorbable filament have been described as an effective alternative for transitory hemiepiphysiodesis in pediatric population.
In pediatric population with genu valgum there are no differences in outcome between hemiepiphysiodesis, using screws and non-absorbable filament (SNAF) versus 8-plate.
Retrospective evaluation, 44 knees in 22 patients younger than 15 years, with idiopathic genu valgum, were operated on. One group (20 knees) was operated on with 8-plate technique and another group (24 knees) was operated on with SNAF technique. Initial and final intermalleolar distance (IMD) and mechanical lateral distal femoral angle (mLDFA) were compared, registering complications for each group. Mann-Whitney test was used for statistics, with significance value <0.05.
All patients achieved the expected mechanical axis correction. IMD and mLDFA significatively improved. There were no significant differences in magnitude and speed of correction when comparing the two techniques. Only one SNAF patient had a minor perioperative complication.
This report compares postoperative results between SNAF and 8-plate technique for correction of angular deformities in lower limbs. In this series of patients, significant clinical and radiological changes were observed between the initial and final values using both techniques, with no significant differences between them. Our group proposes the SNAF technique as an efficient, simple and cost-effective alternative to the traditional 8-plate technique, for the treatment of idiopathic genu valgum in children.
III, retrospective comparative study.</description><subject>Adolescent</subject><subject>Bone Plates</subject><subject>Bone Screws</subject><subject>Child</subject><subject>Epiphyses - diagnostic imaging</subject><subject>Epiphyses - surgery</subject><subject>Epiphysiodesis</subject><subject>Female</subject><subject>Femur - diagnostic imaging</subject><subject>Femur - growth & development</subject><subject>Genu valgum</subject><subject>Genu Valgum - diagnostic imaging</subject><subject>Genu Valgum - surgery</subject><subject>Growth plate</subject><subject>Humans</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>Surgical procedures</subject><subject>Sutures</subject><issn>1877-0568</issn><issn>1877-0568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v1DAURa0K1C_4AyyQl2wSnh3HmZHYoNJSpEpsYG157OfGoyQOfs5U_fdkNAWxYnXf4twrvcPYOwG1AKE_7utUKNcSxLYGWa9xxi7FpusqaPXm1T_3Bbsi2gNoLRp5zi4aAQCNkpesfIlU7MADjimv2eMYcY5z_0wxeaRI_CmWnpPL-ETcTp7TUpaM_ICZFuKbah5sQR5S5qVHXjLaMuJUeAr8EaeFH-zwuIw8Ttz1cfAZpzfsdbAD4duXvGY_725_3NxXD9-_frv5_FA5BVAqJf2uabUI4FpnPYhOKeWD7qxXwVutrEfRdFvp_G7rglQCnFNtK1HiRstdc80-nHbnnH4tSMWMkRwOg50wLWSkFGLbgtLNisoT6nIiyhjMnONo87MRYI62zd4cbZujbQPSrLGW3r_sL7sR_d_KH70r8OkE4PrlIWI25CJODn3M6IrxKf5v_ze-NpNM</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Martínez, Gino</creator><creator>Gündel, Alejandro</creator><creator>Ruiz, Pablo</creator><creator>Cañete, Ismael</creator><creator>Hodgson, Felipe</creator><general>Elsevier Masson SAS</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>Distal femoral hemiepiphysiodesis with screws and suture versus 8-plate for the treatment of genu valgum in children</title><author>Martínez, Gino ; Gündel, Alejandro ; Ruiz, Pablo ; Cañete, Ismael ; Hodgson, Felipe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-42db3561f0c5cad017444df67ad4fda64ade13792cdb9cf2410cc4552e2e862b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Bone Plates</topic><topic>Bone Screws</topic><topic>Child</topic><topic>Epiphyses - diagnostic imaging</topic><topic>Epiphyses - surgery</topic><topic>Epiphysiodesis</topic><topic>Female</topic><topic>Femur - diagnostic imaging</topic><topic>Femur - growth & development</topic><topic>Genu valgum</topic><topic>Genu Valgum - diagnostic imaging</topic><topic>Genu Valgum - surgery</topic><topic>Growth plate</topic><topic>Humans</topic><topic>Male</topic><topic>Retrospective Studies</topic><topic>Surgical procedures</topic><topic>Sutures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martínez, Gino</creatorcontrib><creatorcontrib>Gündel, Alejandro</creatorcontrib><creatorcontrib>Ruiz, Pablo</creatorcontrib><creatorcontrib>Cañete, Ismael</creatorcontrib><creatorcontrib>Hodgson, Felipe</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Orthopaedics & traumatology, surgery & research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martínez, Gino</au><au>Gündel, Alejandro</au><au>Ruiz, Pablo</au><au>Cañete, Ismael</au><au>Hodgson, Felipe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Distal femoral hemiepiphysiodesis with screws and suture versus 8-plate for the treatment of genu valgum in children</atitle><jtitle>Orthopaedics & traumatology, surgery & research</jtitle><addtitle>Orthop Traumatol Surg Res</addtitle><date>2019-06</date><risdate>2019</risdate><volume>105</volume><issue>4</issue><spage>751</spage><epage>755</epage><pages>751-755</pages><issn>1877-0568</issn><eissn>1877-0568</eissn><abstract>There are different techniques for gradual correction of angular deformities in lower limbs. The use of screws and non-absorbable filament have been described as an effective alternative for transitory hemiepiphysiodesis in pediatric population.
In pediatric population with genu valgum there are no differences in outcome between hemiepiphysiodesis, using screws and non-absorbable filament (SNAF) versus 8-plate.
Retrospective evaluation, 44 knees in 22 patients younger than 15 years, with idiopathic genu valgum, were operated on. One group (20 knees) was operated on with 8-plate technique and another group (24 knees) was operated on with SNAF technique. Initial and final intermalleolar distance (IMD) and mechanical lateral distal femoral angle (mLDFA) were compared, registering complications for each group. Mann-Whitney test was used for statistics, with significance value <0.05.
All patients achieved the expected mechanical axis correction. IMD and mLDFA significatively improved. There were no significant differences in magnitude and speed of correction when comparing the two techniques. Only one SNAF patient had a minor perioperative complication.
This report compares postoperative results between SNAF and 8-plate technique for correction of angular deformities in lower limbs. In this series of patients, significant clinical and radiological changes were observed between the initial and final values using both techniques, with no significant differences between them. Our group proposes the SNAF technique as an efficient, simple and cost-effective alternative to the traditional 8-plate technique, for the treatment of idiopathic genu valgum in children.
III, retrospective comparative study.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>31000342</pmid><doi>10.1016/j.otsr.2019.02.019</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Bone Plates Bone Screws Child Epiphyses - diagnostic imaging Epiphyses - surgery Epiphysiodesis Female Femur - diagnostic imaging Femur - growth & development Genu valgum Genu Valgum - diagnostic imaging Genu Valgum - surgery Growth plate Humans Male Retrospective Studies Surgical procedures Sutures |
| title | Distal femoral hemiepiphysiodesis with screws and suture versus 8-plate for the treatment of genu valgum in children |
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