Residual Torsional Deformity in Pediatric Genu Varum After Coronal Plane Deformity Correction by 8 Plate Hemi Epiphysiodesis.
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In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: 8 plate hemiepiphysiodesis.
- Who it may be relevant to
- Registry conditions: Paediatric Surgery. Basic parameters: 30 months — 12 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This study is to evaluate the residual torsional deformity in pediatric Genu Varum after coronal plane deformity correction by 8 plate hemi epiphysiodesis.
Detailed description
Angular deformities around the knee in children is a common finding including genu valgum and genu varum.
The genu valgum or varum may be idiopathic or arise from diverse etiologies, such as trauma, dysplasia, metabolic disease, inflammatory, endocrine, tumor, neoplastic, or developmental pathologies.
Surgical treatment options include osteotomies with either acute or gradual correction and temporary hemi epiphysiodesis (guided growth),the latter being less invasive and with significantly lower rate of major complications.
Guided growth by 8 plate hemi epiphysiodesis is commonly used to correct coronal plane deformity around the knee. Since its introduction by Stevens in 2007 many studies have demonstrated the efficacy, safety and advantages of tension band plating in the paediatric age group as an alternative to corrective osteotomy.
Genu varum deformities of the leg are often associated with internal tibial torsion. The 3 major causes of pediatric in-toeing are metatarsus adductus, internal tibial torsion, and femoral anteversion.
..yet, there is no enough available literature studies evaluating the amount of correction of torsional deformity after coronal plane deformity correction by 8 plate hemi epiphysiodesis.
This is the question of this study and we are trying to answer it by measuring the residual torsional deformity after achieving full correction of coronal plane deformity by 8 plate hemi epiphysiodesis.
Interventions
- Procedure 8 plate hemiepiphysiodesis
surgical procedure by lateral incision in proximal tibia and distal femur and fixation by using 8 plate and screws.
Primary outcome measures
- residual torsional deformity measured via clinical examination. [Time frame: 1 year]
Secondary outcome measures (1)
- Any complications detected [Time frame: 1 year]
Eligibility criteria
\- Inclusion criteria: skeletally immature patients over 2.5 years of age and less than 12 years of age who presented with genu varum. (unilateral or bilateral)
\- Exclusion criteria:
- skeletal maturity.
- epiphyseal dysplasia.
- metabolic and neurologic disorders.
- previous trauma.
- patients younger than 2.5 years and older than 12 years old
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Assiut University Hospital — Asyut
Publications
- Ozdemir E, Emet A, Ramazanov R, Yilmaz G. Correction of coronal plane deformities around knee in children with two-hole tension band plates. Jt Dis Relat Surg. 2021;32(1):177-184. doi: 10.5606/ehc.2021.78879. Epub 2021 Jan 6. PMID 33463434
- Heflin JA, Ford S, Stevens P. Guided growth for tibia vara (Blount's disease). Medicine (Baltimore). 2016 Oct;95(41):e4951. doi: 10.1097/MD.0000000000004951. PMID 27741108
Identifiers
NCT: NCT05334862 · 8 plate in genu varum