The Role of Growth Modulation in Young Patients With Coronal Malalignment and Associated Knee Pathology

IF 0.4 4区医学 Q4 SPORT SCIENCES

Operative Techniques in Sports Medicine Pub Date : 2025-03-01 DOI:10.1016/j.otsm.2025.151164

Emilie Lijesen , Joshua T. Bram , Ruth H. Jones , Shae K. Simpson , Daniel W. Green

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引用次数: 0

Abstract

Hemi-epiphysiodesis, or implant-mediated guided growth (IMGG), is a common and effective operation used to treat angular deformities about the knee in children with at least 2 years of skeletal growth remaining. There are several pathologies associated with coronal malalignment of the knee, including patellofemoral instability (PFI), osteochondritis dissecans (OCD), anterior cruciate ligament (ACL) tears, and meniscus injuries. In skeletally immature patients with PFI and genu valgum, simultaneous medial patellofemoral ligament reconstruction (MPFL) and IMGG has demonstrated successful outcomes with low rates of recurrent instability. Furthermore, young patients with OCD lesions can be treated with hemi-epiphysiodesis to unload the affected medial or lateral compartment of the knee. Finally, as genu valgum puts more stress on the ACL and lateral meniscus, IMGG may lead to improved outcomes after ACL reconstruction and lateral discoid meniscus saucerization.

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生长调节在年轻冠状位失调和相关膝关节病理患者中的作用

膝关节半外翻矫正术（Hemi-epiphysiodesis）或植入物引导生长术（IMGG）是一种常见而有效的手术，用于治疗骨骼生长期至少还剩两年的儿童膝关节成角畸形。与膝关节冠状位错位相关的病症有多种，包括髌骨股骨不稳定（PFI）、骨软骨炎（OCD）、前交叉韧带（ACL）撕裂和半月板损伤。对于骨骼尚未发育成熟的髌股关节不稳定和膝外翻患者，同时进行髌股关节内侧韧带重建（MPFL）和IMGG的治疗效果显著，复发性不稳定的发生率较低。此外，对患有 OCD 病变的年轻患者，可采用半骺成形术来减轻受影响的膝关节内侧或外侧间室的负荷。最后，由于膝膝外翻会对前交叉韧带和外侧半月板造成更大的压力，IMGG可能会改善前交叉韧带重建和外侧盘状半月板切除术后的疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative Techniques in Sports Medicine 医学-外科

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

93 days

期刊介绍： Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.