Correction Treatment of Genu Varum in Children by Means of Temporary Hemiepiphysiodesis Using Eight-LCP

Authors

  • Yon- Gyong An Researcher, Master of Medicine, Pyongyang University of Medical Sciences Hospital,Korea
  • Kon-yong Kim Researcher, Master of Medicine, Pyongyang University of Medical Sciences Hospital,Korea
  • Il-Chon Pak Researcher, Master of Medicine, Pyongyang University of Medical Sciences Hospital,Korea
  • Chol-Nam Rim Researcher, Master of Medicine, Pyongyang University of Medical Sciences Hospital,Korea
  • Chol Hun Yun Researcher, Master of Medicine, Pyongyang University of Medical Sciences Hospital,Korea
  • Myong Jin Jon Researcher, Master of Medicine, Pyongyang University of Medical Sciences Hospital,Korea

Keywords:

Hemiepiphysiodesis, Eightplate, Genu varum, Femorotibial angle, Children

Abstract

Objectives: Genu varum is often diagnosed in children. Although physiological deformities should be corrected, pathological deformities couldn’t be treated without surgical method. With appearance of many minially invasive operation methods, hemiepiphysiodesis using eight plates has yielded to the increasingly popular method. The aim of our survey is to analyse the effectiveness of the operation using eight-LCP. Method: Between April 2015 and April 2020, We have studied 55 patients with genu varum. Every patient was under appropriate medical treatment during the observation period. Depending on deformity type, an eight-Plate was implanted on the distal lateral femur and/or the proximal lateral tibia. Evaluation was carried out the angle of femorotibial angle radiologically. Results The median age at implantation was 7.3 +/−1.2 years (3-14 years). The median removal period was about 24 months (8–32 montehs). The anatomical femorotibial angle was corrected by on average 1.1 +/−0.7°. Redeformity occurred in 2 patients after removal. 8-plate was implanted on the distal lateral femur and the proximal lateral tibia in children who are older than 12 years. Conculsion: Temporary hemiepiphysiodesis using eight-Plates is simple and effective procedure.The latest development of the efficient minimally invasive surgical option makes the treatment of knee varus readily.

References

Ashby E, Eastwood D. Characterization of knee alignment in children with mucopolysaccharidosis types I and II and outcome of treatment with guided growth. J Child Orthop. 2015;9:227–33. https://doi.org/10.1007/s11832-015-0661-0.

Corominas-Frances L, Sanpera I, Saus-Sarrias C, Tejada-Gavela S,Sanpera-Iglesias J, Frontera-Juan G. Rebound growth after hemiepiphysiodesis: an animal-based experimental study of incidence and chronology. Bone Joint J. 2015;97-B:862–8. https://doi.org/10.1302/0301-620X.97B6.34822.

Chang FM, Ma J, Pan Z, Hoversten L, Novais EN. Rate of correction and recurrence of ankle valgus in children using a Transphyseal medial malleolar screw. J Pediatr Orthop. 2015;35:589–92. https://doi.org/10.1097/BPO. 0000000000000333.

Aslani H, Panjavy B, Bashy RHZ, Tabrizi A, Nazari B. The efficacy and complications of 2-hole 3.5 mm reconstruction plates and 4 mm noncanulated cancellous screws for temporary hemiepiphysiodesis around the knee. J Pediatr Orthop. 2014;34:462–6. https://doi.org/10.1097/BPO. 0000000000000115.

Ilharreborde B, Gaumetou E, Souchet P, Fitoussi F, Presedo A, Pennecot GF, Mazda K. Efficacy and late complications of percutaneous epiphysiodesis with transphyseal screws. J Bone Joint Surg Br. 2012;94:270–5. https://doi. org/10.1302/0301-620X.94B2.27470.

Sprouse C, Tosi L, Stapleton E, Gropman AL, Mitchell FL, Peret R, et al. Musculoskeletal anomalies in a large cohort of boys with 49, XXXXY. Am J Med Genet C Semin Med Genet. 2013;163C:44–9. https://doi.org/10.1002/ajmg.c.31354.

Kulkarni RM, Ilyas Rushnaiwala FM, Kulkarni GS, et al. Correction of coronal plane deformities around the knee using a tension band plate in children younger than 10 years. Indian J Orthop. 2015;49:208–218.

Lawing C, Margalit A, Ukwuani G, et al. Predicting late follow-up and understanding its consequences in growth modulation for pediatric lower limb deformities. J Pediatr Orthop. 2017; (January)10.1097/BPO.0000000000000951 Epub ahead of print.

Patwardhan S, Shah K, Shyam AK, et al. Growth modulation in children for angular deformity correction around knee—use of eight plate. Int J Pediatr Orthop. 2015;1:33–37.

Fillingham YA, Luthringer T, Erickson BJ, Kogan M (2015) Does physical therapy prevent post-operative delay in return of function following tension-band plating? J Child Orthop 9(6):483–487.

Downloads

Published

2021-10-04

Issue

Vol. 10 No. 2 (2021)

Section

Research Article

License

Declaration and Copyright Transfer Form

(to be completed by authors)

I/ We, the undersigned author(s) of the submitted manuscript, hereby declare, that the above manuscript which is submitted for publication in the STM Journals(s), is not published already in part or whole (except in the form of abstract) in any journal or magazine for private or public circulation, and, is not under consideration of publication elsewhere.

  • I/We will not withdraw the manuscript after 1 week of submission as I have read the Author Guidelines and will adhere to the guidelines.
  • I/We Author(s ) have neither given nor will give this manuscript elsewhere for publishing after submitting in STM Journal(s).
  • I/ We have read the original version of the manuscript and am/ are responsible for the thought contents embodied in it. The work dealt in the manuscript is my/ our own, and my/ our individual contribution to this work is significant enough to qualify for authorship.
  •  I/We also agree to the authorship of the article in the following order:

Author’s name                                    

 

1. ________________

2. ________________

3. ________________

4. ________________

 

We  Author(s) tick this box and would request you to consider it as our signature as we agree to the terms of this Copyright Notice, which will apply to this submission if and when it is published by this journal.