Rebound Deformity After Growth Modulation in Patients With Coronal Plane Angular Deformities About the Knee: Who Gets It and How Much?

Journal of Pediatric Orthopedics
Lise A LeveilleCharles E Johnston

Abstract

With observed success and increased popularity of growth modulation techniques, there has been a trend toward use in progressively younger patients. Younger age at growth modulation increases the likelihood of complete deformity correction and need for implant removal before skeletal maturity introducing the risk of rebound deformity. The purpose of this study was to quantify magnitude and identify risk factors for rebound deformity after growth modulation. We performed a retrospective review of all patients undergoing growth modulation with a tension band plate for coronal plane deformity about the knee with subsequent implant removal. Exclusion criteria included completion epiphysiodesis or osteotomy at implant removal, ongoing growth modulation, and <1 year radiographic follow-up without rebound deformity. Mechanical lateral distal femoral angle, mechanical medial proximal tibial angle, hip-knee-ankle angle (HKA), and mechanical axis station were measured before growth modulation, before implant removal, and at final follow-up. In total, 67 limbs in 45 patients met the inclusion criteria. Mean age at growth modulation was 9.8 years (range, 3.4 to 15.4 y) and mean age at implant removal was 11.4 years (range, 5.3 to 16.4 y). ...Continue Reading

References

Jul 1, 1996·Journal of Pediatric Orthopedics·C H Mielke, P M Stevens
Mar 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Jong-Beom ParkK Daniel Riew
Mar 25, 2006·Journal of Pediatric Orthopedics·Eduardo Novais, Peter M Stevens
May 4, 2006·Journal of Pediatric Orthopedics·Peter M Stevens, Felicity Pease
Apr 7, 2007·Journal of Pediatric Orthopedics·Peter M Stevens
Aug 30, 2008·Journal of Pediatric Orthopedics·Peter M Stevens, Joshua B Klatt
Oct 19, 2010·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Rolf D Burghardt, John E Herzenberg
Dec 17, 2011·Journal of Pediatric Orthopedics·Allison Cooper Scott
Aug 16, 2012·Journal of Pediatric Orthopedics·Peter M Stevens, Eduardo N Novais
Jul 3, 2013·Journal of Pediatric Orthopedics·Bettina M GyrGabriela J Ferski
Oct 9, 2013·Journal of Pediatric Orthopedics. Part B·Sakti DasRam N Mohanty
Apr 15, 2016·Journal of Pediatric Orthopedics·Sean A SutphenKevin E Klingele

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Citations

Nov 7, 2019·Journal of Pediatric Orthopedics·Adrienne R SocciMelinda S Sharkey
Mar 3, 2020·Journal of Pediatric Orthopedics·David E WestberryJulia Prodoehl

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