Correction of Genu Valgum Deformity by Temporary Hemiepiphysiodesis using

Faculty Medicine Year: 2020
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Zagazig UNIVERSITY MEDICAL Journal Zagazig UNIVERSITY MEDICAL Journal Volume:
Keywords : Correction , Genu Valgum Deformity , Temporary Hemiepiphysiodesis    
Abstract:
The rationale behind temporary hemiepiphysiodesis is to tether growth on the convex side of the deformity to allow the concave side of the physis to continue growth leading to deformity correction. Tension band plating in the form of 8-plate had been introduced by Stevens in 2007 to allow for temporary hemiepiphysiodesis. It is an easy, minimal invasive procedure that allows for early weight bearing Patients and Methods: This study included 38 patients. Genu Valgum deformity was bilateral in 24 patients (a total of 62 knees). 25 females (65.8%) and 13 males (34.2%). The cause of deformity was idiopathic in 29 patients (76.3%), post-traumatic in 5 patients (13%) and chronic renal failure in 4 patients (10.7%). Mechanical axis deviation MAD, lateral distal femoral angle LDFA and medial proximal tibial angle MPTA were recorded for all patients at presentation and on follow up for monitoring of deformity correction. Results: Mechanical axis deviation MAD corrected from lateral to medial from (Mean ± SD) 34.3 ± 14.3mm to 7.9 ± 5.3 mm. Lateral distal femoral angle LDFA corrected from (Mean ± SD) 77.9 ± 3.18 °to 90.5 ± 2.55 degrees. This was found to be statistically significant. P value <0.001. Medial proximal tibial angle MPTA was corrected from (Mean ± SD) 91.2 ± 3.64 ° to 88.7 ± 1.56°. This was found to be statistically insignificant. P value is 0.34. Conclusion: The procedure is minimal invasive approach, with easy application and extraction, continued growth after plate removal and early postoperative mobilization.
   
     
 
       

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