Correction of angular deformity of the knee in growing children by temporary hemiepiphyseodesis using the eight-plate

Zeitschrift für Orthopädie und Unfallchirurgie
M NiethardM Rogalski

Abstract

Angular deformities of the lower extremity are considered as prearthrotic factors. Osteotomy is regarded as a way of corrective treatment. But this intervention is considered as complex and requires a special after-treatment. During childhood and with remaining growth, guided growth offers an elegant solution for this problem. Resulting in a temporary hemiepiphyseodesis, the eight-Plate offers an alternative technique besides the Blount staples and the definitive epiphyseodesis. We evaluated the effect of this device on the correction of angular deformities in children with different diagnoses and at different ages. Since 04/2006 22 patients with angular deformities of the lower extremities due to different diagnoses were treated at our department with the eight-Plate (42 eight-Plates). In this study we evaluated the outcome of 13 patients (26 eight-Plates) until the completed angular correction and removal of the eight-Plate. A special treatment after plate removal was not applied. All patients improved their mechanical leg axis. The average age at implantation was 9.4 years (2.3-13.7 years). The average time until plate removal was 10.7 months (6-34 months). No hardware failures, extrusions, growth arrests, wound infections o...Continue Reading

Citations

Sep 23, 2016·Journal of Pediatric Orthopedics·Hoon ParkDong Hoon Lee
Jun 12, 2014·Archives of Orthopaedic and Trauma Surgery·M BachmannC Camathias
Jul 12, 2017·Journal of Orthopaedic Surgery and Research·Zhenkai WuJianlin Liu
Mar 24, 2018·Orthopaedic Journal of Sports Medicine·Gian M SalzmannPeter Angele
Jan 17, 2014·Journal of Children's Orthopaedics·Stephanie BöhmMark Gaston
Nov 30, 2012·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Martin GottliebsenBjarne Møller-Madsen
Apr 2, 2021·Journal of Materials Science. Materials in Medicine·Charlotte StruweRichard Placzek
Jun 23, 2021·Der Orthopäde·Kerstin RadtkeSebastian Braun

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