Prospective Study on Tension Band Plating: Most Patients are Not Returning to Normal Activities 1 Month Following Surgery.

Journal of Pediatric Orthopedics
Vanessa GrégoireLindsay M Andras

Abstract

Tension band plating for temporary hemiepiphysiodesis has been reported by several authors as simple and effective for treating angular deformities of the lower limb. Anecdotally, patients have reported higher pain levels than expected given the small size of incision and relatively minimal amount of dissection, and we sought to investigate this further. Patients 16 years old or less with lower extremity angular deformities or limb length inequality were prospectively enrolled before tension band plating from 2 pediatric institutions from July 2016 to December 2018. Participants completed postoperative questionnaires regarding their pain and activity level. Pain was assessed using the FACES Pain Scale. Patients were included if they completed the 1 month survey. Of the 48 patients that met inclusion criteria (mean age at surgery: 13.1 y; range: 7 to 16 y), 39 patients completed the survey at 3 months postoperatively. There was a significant change in pain level between 1 week and 1 month postoperatively (P<0.001). Eighty-three percent (34/41) of patients were still taking pain medication at 1 week, which decreased to 38% (18/48) at 1 month. At 3 months, 21% (8/39) patients reported they were still using pain medication. At 1 mo...Continue Reading

References

Apr 7, 2007·Journal of Pediatric Orthopedics·Peter M Stevens
Jul 2, 2009·Journal of Pediatric Orthopedics·John M WiemannElizabeth A Szalay
Aug 25, 2010·Journal of Pediatric Orthopedics·Rolf D BurghardtJohn E Herzenberg
Oct 27, 2015·Journal of Children's Orthopaedics·Yale A FillinghamMonica Kogan

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