Épiphysiodèse distale fémorale par vis et fil non résorbable pour genu valgum idiopathique. Etude préliminaire de 12 genoux - 30/03/17
Distal femoral hemiepiphysiodesis using screw and non-absorbable filament for the treatment of idiopathic genu valgum. Preliminary results of 12 knees
, S.D. Pérez a, C.A. Espinoza b, A.I. León a, F.H. Ovalle a, C.R. Mac-lean aAbstract |
Introduction |
Different techniques for gradual correction of angular deformities of lower limbs exist. Screws and non-absorbable filament has been described as an effective alternative for transitory hemiepiphysiodesis in New Zealand rabbits.
Hypothesis |
Hemiepiphysiodesis using screws and non-absorbable filament is effective in pediatric population, for correction of genu valgum.
Methods |
Retrospective evaluation, 12 knees in 6 patients younger than 15 years (3 females), operated because of genu valgum. An anchoring system with two 4.0mm cancellous screw with metal washer joined by FiberWire #2.0 filament. Initial and final intermalleolar distance (IMD) and mechanical lateral distal femoral angle were compared, recording complications. Mann-Whitney test was used for statistics, with significance value <0.05.
Results |
All patients achieved the expected correction. IMD and mLDFA were significatively improved. Only one patient presents a minor perioperative complication.
Discussion |
Lateral distal femoral hemiepiphysiodesis with screws and non-absorbable filament resulted to be an effective alternative for genu valgum gradual correction in pediatric population. This is the first article that proposes this model, as an efficient and simple alternative for the treatment of genu valgum in pediatric patients.
Level of proof |
Retrospective study, Level IV.
El texto completo de este artículo está disponible en PDF.Keywords : Growth plate, Epiphysiodesis, Genu valgum, Child
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 103 - N° 2
P. 171 - avril 2017 Regresar al número
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