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Early experience with medial femoral tension band plating in idiopathic genu valgum
PURPOSE: For correction of angular deformity, tension band plating has been proposed as a safe and minimally invasive technique. The purpose of this study was to assess the experiences and report the rate of correction obtained with this procedure in patients with idiopathic genu valgum. METHODS: Th...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3024485/ https://www.ncbi.nlm.nih.gov/pubmed/21415941 http://dx.doi.org/10.1007/s11832-010-0310-6 |
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author | Guzman, Humberto Yaszay, Burt Scott, Vanessa P. Bastrom, Tracey P. Mubarak, Scott J. |
author_facet | Guzman, Humberto Yaszay, Burt Scott, Vanessa P. Bastrom, Tracey P. Mubarak, Scott J. |
author_sort | Guzman, Humberto |
collection | PubMed |
description | PURPOSE: For correction of angular deformity, tension band plating has been proposed as a safe and minimally invasive technique. The purpose of this study was to assess the experiences and report the rate of correction obtained with this procedure in patients with idiopathic genu valgum. METHODS: This study was a retrospective review of 47 valgus deformities of the knee treated with medial hemiepiphysiodesis using a tension band plate. The tibiofemoral angle (TFA) and the anatomic lateral distal femoral angle (aLDFA) were assessed on anteroposterior (AP) radiographs of the lower extremity taken at multiple time intervals. The values were charted to determine the change in orientation of the joint surface over time. Pearson’s correlation was used to analyze the correction over time. A subanalysis was performed evaluating the effect of age and the number of plates utilized. RESULTS: A total of 47 deformities in 25 patients were reviewed. The average time of follow-up from index surgery was 12.7 months, with an average correction of 0.96° every 3 months or 3.8° per year. The aLDFA corrected at a faster rate in knees with two plates per hemiepiphysiodesis than those with one plate, 4.2° and 3.3° per year, respectively (P = 0.035). Girls <11 years of age and boys <13 years of age corrected at a rate of 4.5°, while older children corrected at a rate of 3.4° per year (P = 0.39). There were no complications or instrumentation breakages. CONCLUSION: Hemiepiphysiodesis with tension band plating provides an effective and predictable correction of idiopathic genu valgum. Two plates appear to provide a greater rate of correction. There is also a trend toward faster correction in younger patients as well. |
format | Text |
id | pubmed-3024485 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-30244852011-02-22 Early experience with medial femoral tension band plating in idiopathic genu valgum Guzman, Humberto Yaszay, Burt Scott, Vanessa P. Bastrom, Tracey P. Mubarak, Scott J. J Child Orthop Original Clinical Article PURPOSE: For correction of angular deformity, tension band plating has been proposed as a safe and minimally invasive technique. The purpose of this study was to assess the experiences and report the rate of correction obtained with this procedure in patients with idiopathic genu valgum. METHODS: This study was a retrospective review of 47 valgus deformities of the knee treated with medial hemiepiphysiodesis using a tension band plate. The tibiofemoral angle (TFA) and the anatomic lateral distal femoral angle (aLDFA) were assessed on anteroposterior (AP) radiographs of the lower extremity taken at multiple time intervals. The values were charted to determine the change in orientation of the joint surface over time. Pearson’s correlation was used to analyze the correction over time. A subanalysis was performed evaluating the effect of age and the number of plates utilized. RESULTS: A total of 47 deformities in 25 patients were reviewed. The average time of follow-up from index surgery was 12.7 months, with an average correction of 0.96° every 3 months or 3.8° per year. The aLDFA corrected at a faster rate in knees with two plates per hemiepiphysiodesis than those with one plate, 4.2° and 3.3° per year, respectively (P = 0.035). Girls <11 years of age and boys <13 years of age corrected at a rate of 4.5°, while older children corrected at a rate of 3.4° per year (P = 0.39). There were no complications or instrumentation breakages. CONCLUSION: Hemiepiphysiodesis with tension band plating provides an effective and predictable correction of idiopathic genu valgum. Two plates appear to provide a greater rate of correction. There is also a trend toward faster correction in younger patients as well. Springer Berlin Heidelberg 2010-12-08 2011-02 /pmc/articles/PMC3024485/ /pubmed/21415941 http://dx.doi.org/10.1007/s11832-010-0310-6 Text en © The Author(s) 2010 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Original Clinical Article Guzman, Humberto Yaszay, Burt Scott, Vanessa P. Bastrom, Tracey P. Mubarak, Scott J. Early experience with medial femoral tension band plating in idiopathic genu valgum |
title | Early experience with medial femoral tension band plating in idiopathic genu valgum |
title_full | Early experience with medial femoral tension band plating in idiopathic genu valgum |
title_fullStr | Early experience with medial femoral tension band plating in idiopathic genu valgum |
title_full_unstemmed | Early experience with medial femoral tension band plating in idiopathic genu valgum |
title_short | Early experience with medial femoral tension band plating in idiopathic genu valgum |
title_sort | early experience with medial femoral tension band plating in idiopathic genu valgum |
topic | Original Clinical Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3024485/ https://www.ncbi.nlm.nih.gov/pubmed/21415941 http://dx.doi.org/10.1007/s11832-010-0310-6 |
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