Guided growth for angular correction in children: a comparison of two tension band plate designs. Issue 1 (January 2018)

• Record Type: Journal Article
• Authors: Kadhim, Muayad; Gauthier, Luke; Logan, Karl; El-Hawary, Ron; Orlik, Benjamin
• Is Part Of: Journal of pediatric orthopedics. Volume 27:Issue 1(2018)
• Publication Date: 2018-01
• Subjects: eight-plate -- genu valgum -- genu varum -- guided growth -- hinge-plate -- tension band plate; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000492
• Languages: English
• ISSNs: 1060-152X

Abstract

Abstract : This retrospective cohort study examined 20 patients (48 physes), 11 boys and nine girls, who were treated with hinge-plate or eight-plate. The mean age of the patients at surgery was 11.9±2.6 years. The mean follow-up duration was 13±2.7 months. The radiographic measurement of both distal femoral and proximal tibial deformity showed significant correction, with no difference between the hinge-plate and the eight-plate. Both screw divergence angle and the hinge angle showed significant changes at the last follow-up. The deformity correction of the distal femoral physis was quicker than the proximal tibial physis. The rate of mechanical femoral–tibial angle correction was 0.97°/month if both femoral and tibial physes were treated. Level of evidence: III.