Article
Orthopedics
Janet. L. L. Walker, David. M. M. Dueber, Kenneth. P. P. Powell, Lindsay. P. P. Stephenson, Allison. C. C. Scott, Joel. A. A. Lerman, Sarah. B. B. Nossov, Corinna. C. C. Franklin, David. E. E. Westberry
Summary: For late-onset tibia vara, the success of growth modulation varies. Parameters such as deformity severity, skeletal maturity, and body weight can predict the odds of a successful outcome.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2023)
Article
Orthopedics
Daniel Quintero, Miguel Galban, Cesar Gil
Summary: This study retrospectively evaluated the use of a flexible tension band plate for guided growth in pediatric patients with angular deformities around the knee. It found that the flexible tension band plate can achieve satisfactory correction rates with minor complications.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2023)
Article
Medicine, General & Internal
Jan Schagemann, Nils Kudernatsch, Martin Russlies, Hagen Mittelstaedt, Melanie Goetze, Melanie Horter, Andreas Paech, Barbara Behnke
Summary: Temporary hemiepiphysiodesis (HEPD) offers great potential for correction of the mechanical axis and frontal knee joint line in idiopathic coronal plane deformities. An unphysiological change of the frontal knee joint line is associated with a high risk of recurrent angular deformities.
Article
Orthopedics
Fardis Vosoughi, Mohammad Hossein Nabian, Anne-Laure Simon, Leila Aghaghazvini, Ramin Zargarbashi, Mir Saeed Yekaninejad
Summary: Langenskiold classification, widely used in Orthopaedic studies, has moderate inter-rater reliability. Variability is most prominent at stages 2, 3, and 4, leading to different treatment approaches. The use of MRI does not significantly improve its reliability. Regrouping the stages can enhance inter-rater reliability.
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
(2022)
Article
Orthopedics
Julia Sattelberger, Hauke Hillebrand, Georg Gosheger, Andrea Laufer, Adrien Frommer, Sebastian Appelbaum, Ahmed Abdul-Hussein Abood, Martin Gottliebsen, Ole Rahbek, Bjarne Moller-Madsen, Robert Roedl, Bjoern Vogt
Summary: This study compared the effects of two tension-band devices (Eight-Plate and FlexTack) on the growth plate, finding that both devices achieved growth inhibition but FlexTack had a more significant effect. A rebound phenomenon was observed after implant removal, and there was a paradox cartilaginous reaction in the growth plates treated with Eight-Plate.
Article
Orthopedics
Christopher A. Makarewich, Emily Zhang, Peter M. Stevens
Summary: This study aims to determine the effectiveness of hemiepiphysiodesis in correcting coronal plane deformities in children with achondroplasia. The results show that hemiepiphysiodesis can successfully correct these deformities without the need for osteotomy.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2023)
Article
Orthopedics
Janet L. L. Walker, David M. M. Dueber, Lindsay P. P. Stephenson, Allison C. C. Scott, Joel A. A. Lerman, Kenneth P. P. Powell, Jeffery D. D. Ackman, David E. E. Westberry, Sarah B. B. Nossov, Corinna C. C. Franklin
Summary: Angular deformity correction with tension band plating is less successful in early-onset tibia vara (EOTV) than in other conditions. This study found that perioperative factors can predict the success of lateral tibial tension band plating (LTTBP) in patients with EOTV.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2023)
Article
Public, Environmental & Occupational Health
Arash Maleki, Mohamad Qoreishi, Amir Bisadi, Farshad Safdari, Amin Daei Sorkhabi, Ali Fotouhi, Mohammad A. A. Tahririan
Summary: This study aimed to investigate the efficacy of 3-hole 3.5 mm reconstruction plates in tension-band temporary hemiepiphysiodesis for correcting idiopathic knee coronal angular deformities. It was found that temporary hemiepiphysiodesis using a 3-hole R-plate and two cortical screws was successful in treating idiopathic angular deformities with low complication rates.
HEALTH SCIENCE REPORTS
(2023)
Review
Medicine, General & Internal
Marco Ramella, Alessandro Depaoli, Grazia Chiara Menozzi, Giovanni Gallone, Tosca Cerasoli, Gino Rocca, Giovanni Trisolino
Summary: The study found poor evidence to establish an optimal treatment for Blount's disease. Early diagnosis, classification, and treatment of infantile tibia vara are crucial for preventing recurrence.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Education, Scientific Disciplines
Jing Ding, Zhen-Zhen Dai, Chang-You Li, Zhi-Qiang Zhang, Zhen-Kai Wu, Qi-Xun Cai
Summary: This study assessed the rate of angular correction (ROAC) in patients treated for genu valgum and varum with guided growth. Risk factors for lower ROAC were identified, including non-idiopathic coronal deformity of the knee and body weight exceeding the 95th percentile for children. Uncertainty remains regarding the impact of deformity severity, race, and operative procedure on the rate of correction. Level III evidence.
Review
Pediatrics
Niels J. Jansen, Romy B. M. Dockx, Adhiambo M. Witlox, Saartje Straetemans, Heleen M. Staal
Summary: The study provides an overview of the possible causes of windswept deformity in children and emphasizes the key points to pay attention to. The results reveal various etiologies of windswept deformity, with a specific ethnic difference found in some cases.
Article
Orthopedics
Pieter Herman Mare, David Mungo Thompson, Leonard Charles Marais
Summary: The study describes the clinical outcomes of medial elevation osteotomy for the management of late-presenting and recurrent infantile Blount disease, with a high success rate in achieving good alignment. Obesity is associated with more severe deformity, and both obesity and residual instability increase the risk of poor alignment.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2021)
Article
Orthopedics
James McGinley, Hannah Worrall, Claire Althoff, Claire Clark, Chan-Hee Jo, John G. Birch, Philip L. Wilson, Henry B. Ellis
Summary: The study compared the rates of correction for distal femoral transphyseal screws and growth modulation plates in treating coronal-plane knee deformities. The results showed that transphyseal screws corrected the deformities more quickly than growth modulation plates.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Article
Orthopedics
B. Vogt, G. Toporowski, G. Gosheger, A. Laufer, A. Frommer, M-T. Kleine-Koenig, R. Roedl, C. Antfang
Summary: This study compared the use of a new flexible staple with traditional two-hole plates and Blount staples for guided growth in children and adolescents with angular deformities in long bones. The results showed that the flexible staple was effective in correcting the deformities, with a faster treatment speed and fewer implant-associated complications. Further comparative studies are needed to confirm these findings.
BONE & JOINT JOURNAL
(2023)
Article
Pediatrics
Nath Adulkasem, Jidapa Wongcharoenwatana, Thanase Ariyawatkul, Chatupon Chotigavanichaya, Kamolporn Kaewpornsawan, Perajit Eamsobhana
Summary: The study developed and validated a diagnostic prediction model to assist physicians in distinguishing an early stage of Blount's disease from physiologic bowlegs, showing high discriminative ability.