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Erschienen in: Archives of Orthopaedic and Trauma Surgery 10/2008

01.10.2008 | Orthopaedic Surgery

Outcome after temporary physeal stapling for knee valgus deformity in children with JIA

verfasst von: Eerik T. Skyttä, Anneli Savolainen, Hannu J. Kautiainen, Eero A. Belt

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 10/2008

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Abstract

Introduction

Majority of children with secondary knee valgus deformity due to juvenile idiopathic arthritis (JIA) are affected by the polyarthritic disease subtype. Progressive rheumatoid knee destruction in patients with JIA and valgus deformity may necessitate total knee replacement (TKR) at a young age. Temporary physeal arrest is a safe and effective method for correction of knee valgus malalignment prior to closure of the epiphyseal growth plates even during active arthritis.

Results

Most of the angular correction achieved in the stapled knees (n = 103) in the present cohort remained the same through the long-term follow-up though in some patients the deformity did recur. The advantages of angular correction prior to possible future TKR include easier soft tissue balancing, diminished bony deformity and less deranged collateral ligaments reducing the need for expensive custom and constrained implants.

Conclusion

However, the effect of the correction on postponing the early need for TKR is limited.
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Metadaten
Titel
Outcome after temporary physeal stapling for knee valgus deformity in children with JIA
verfasst von
Eerik T. Skyttä
Anneli Savolainen
Hannu J. Kautiainen
Eero A. Belt
Publikationsdatum
01.10.2008
Verlag
Springer-Verlag
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 10/2008
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-008-0605-y

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