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344968

Comparative Study between Eight Plate and Staples in the Management of Angular Knee Deformities in Children Older than 3 Years Attending Suez Canal University Hospital

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Clinical Research (Surgical)

Abstract

Background:Most of the angular deformities of pediatric knees are benign and disappear without any interventions by the age of eight years. The ones that don't resolve cause gait disturbance, pain, cosmetic problems, and early joint degeneration so they need to be corrected. Aim: This study aimed to evaluate the correction rate of angular deformities around the knee by guided growth using eight-plate versus stapling. Patients and Methods: The design of this study is a randomized controlled clinical trial that included 20 patients, 16 bilateral and 4 unilateral, a total of 36 angular deformed knees with open physis presenting to Orthopedics clinic, Suez Canal University Teaching hospitals. The study participants were assigned to two groups: Group 1: deformed knees had been treated with eight-plate and Group B: deformed knees had been treated with staples. Results: The overall correction rate of the tibio-femoral angle (TFA) was 1.67 degrees per month for staples and 1.8 degrees per month for eight plates (p < /em> = 0.70). The correction in medial proximal tibial angle (MPTA) was significantly better in the eight-plate group (p < /em>=0.539). Implant-related complications were identified as implant failure in one patient of the staples group and another patient with superficial infection in the eight-plate group. Conclusion: Eight-plate is as effective as staples in the correction of the tibio-femoral angle and provides better improvement of the medial proximal tibial angle. We recommend both eight-plate and staples as effective devices to be used in the correction of angular knee deformities in children.
 

DOI

10.21608/scumj.2024.344968

Keywords

Angular deformities around the knee, hemiepiphysiodesis, staples, eight-plate, Guided growth, Genu varum, Genu valgum, tension band plate

Authors

First Name

Sameh M.

Last Name

Abo Elfadl

MiddleName

-

Affiliation

Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Suez Canal University

Email

-

City

-

Orcid

-

First Name

Marwa M.

Last Name

Mahdy

MiddleName

-

Affiliation

Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Suez Canal University

Email

marwamahdy30@gmail.com

City

Ismailia

Orcid

-

First Name

Ayman A. ,

Last Name

Helaly

MiddleName

-

Affiliation

Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Suez Canal University

Email

-

City

-

Orcid

-

First Name

Sam S.

Last Name

Samaan

MiddleName

-

Affiliation

Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Suez Canal University

Email

-

City

-

Orcid

-

Volume

27

Article Issue

2

Related Issue

46317

Issue Date

2024-02-01

Receive Date

2024-03-09

Publish Date

2024-02-01

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_344968.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=344968

Order

5

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Comparative Study between Eight Plate and Staples in the Management of Angular Knee Deformities in Children Older than 3 Years Attending Suez Canal University Hospital

Details

Type

Article

Created At

24 Dec 2024