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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

21.09.2020 | Orthopaedic Surgery

Hemiepiphysiodesis for coronal angular knee deformities: tension-band plate versus percutaneous transphyseal screw

verfasst von: Galina Shapiro, Tohar Adato, Shai Paz, Tareq Shrabaty, Lamdan Ron, Naum Simanovsky, Michael Zaidman, Vladimir Goldman

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 1/2022

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Abstract

Introduction

Pediatric coronal plane knee deformities can be treated surgically using hemiepiphysiodesis. The two leading techniques used for hemiepiphysiodesis are: tension-band plates (TBP) and percutaneous transphyseal screws (PETS). We hypothesized that PETS would lead to faster guided correction of angular knee deformities than TBP.

Materials and methods

A retrospective cohort of 35 patients treated with either TBP or PETS in one medical institution was established. The cohort included both genu varum and genu valgum of both primary and secondary etiologies. We first compared the treatment groups for differences in demographic and malalignment characteristics. Then, we compared the treatment groups for differences in operation-related outcomes, radiological mechanical correction and complication rates.

Results

We found that the use of PETS, compared to TBP, was associated with a faster implantation surgery and a shorter interval between implantation and removal, i.e., faster correction. Furthermore, PETS were associated with faster correction rates of the mechanical axis deviation, lateral distal femoral angle and medial proximal tibial angle. No significant differences in complication rates were found between the two treatments.

Conclusion

PETS provided a faster correction of angular knee deformities compared to TBP at similar complication rates. Hence, PETS could be considered a superior technique for hemiepiphysiodesis.

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Titel: Hemiepiphysiodesis for coronal angular knee deformities: tension-band plate versus percutaneous transphyseal screw
verfasst von: Galina Shapiro
Tohar Adato
Shai Paz
Tareq Shrabaty
Lamdan Ron
Naum Simanovsky
Michael Zaidman
Vladimir Goldman
Publikationsdatum: 21.09.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 1/2022
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-020-03602-4

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Hemiepiphysiodesis for coronal angular knee deformities: tension-band plate versus percutaneous transphyseal screw