PMID: 26787183Jan 21, 2016Paper

Eight-Plate Guided Growth Treatment for Angular Deformities and Length Discrepancies of the Lower Limbs in Children. Our First Experience

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
J Jochymek, T Peterková

Abstract

The aim of this paper is to present our first experience with and the results of treating angular deformities and length discrepancies of the lower limbs in children and adolescents using the Eight-plate system, and to compare our results with the literature data. A total of 22 patients underwent surgery for the correction of angular deformities or length discrepancies of the lower limbs in 2014. Using Eight-plates, temporary medial hemiepiphysiodesis was carried out in 13 patients with the diagnosis of genu valgum (group 1). In nine patients (group 2) the Eight-plate was used to correct milder forms of leg length discrepancy by epiphysiodesis involving the distal femur only or also the proximal tibia. The Eight-plate system consists of a plate with two or more holes and two screws. Under X-ray image intensifier guidance, the plate was inserted above the physis of the long bone through a minimally invasive approach. Pre-operative long-standing radiographs of the lower extremities were measured. Post-operatively, radiographic assessments and clinical examinations were done at 3-month intervals to monitor the effects of therapy. In group 1, the average pre-operative intermalleolar distance (IMD) measured on standing radiographs w...Continue Reading

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