Tibial slope changes following guided growth by the eight-plate: A retrospective comparative study.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Acta orthopaedica et traumatologica turcica Pub Date : 2022-01-01 DOI:10.5152/j.aott.2022.20365

Vahit Yıldız, E. Cullu

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引用次数: 0

Abstract

OBJECTIVE The aims of this study were (1) to investigate the tibial slope (TS) changes following guided growth by the eight-plate and to determine the relationship between the TS change in the sagittal plane and the plate position. METHODS In this retrospective study, children who underwent guided growth by the eight-plate for genu varum or valgum were included. Thirty-eight extremities of 23 children (14 girls and 9 boys; mean age = 9.2 years, age range = 3-17 years) were then divided into two groups according to the plate location in the sagittal plane (anterior or midline). Preoperative and postoperative TS were measured from the medial and lateral tibial plateaus separately. RESULTS The mean follow-up was 34.3 (range = 12-96) months. The mean preoperative and postoperative medial TS were 4.05 ± 5.65 and 0.83 ± 3.91 degrees, respectively, in 18 patients in whom anterior epiphyseal plates were placed (P = 0.004). The mean preoperative and postoperative lateral TS were 4.88 ± 5.33 and 0.11 ± 3.34 degrees, respectively, in 18 patients in whom anterior epiphyseal plates were placed (P < 0.001). The mean preoperative and postoperative medial TS were 4.2 ± 5.19 and 4.9 ± 6.02 degrees, respectively, in 20 patients in whom midline epiphyseal plates were placed (P = 0.532). The mean preoperative and postoperative lateral TS were 5 ± 5.51 and 4.8 ± 5.7 degrees, respectively, in 20 patients in whom midline epiphyseal plates were placed (P = 0.871). Postoperative TS was decreased in anteriorly located eight-plates, and medial and lateral plateau measurement was significant (P = 0.004 and P < 0.001, respectively). Postoperative TS changes in midline-placed eight-plates were not significant regarding the medial and lateral plateaus (P = 0.532 and P = 0.871, respectively). CONCLUSION The results of this study have shown that TS decreases following guided growth by the eight-plate in children in whom plates are placed at the anterior epiphysis. To prevent TS changes, the eight-plate should be placed in the midline position at the sagittal plane. LEVEL OF EVIDENCE Level IV, Therapeutic Study.

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八块钢板引导生长后胫骨斜率的变化：一项回顾性比较研究。

目的本研究的目的是:(1)研究8钢板引导生长后胫骨斜率(TS)的变化，并确定矢状面TS变化与钢板位置的关系。方法回顾性研究采用8钢板治疗膝内翻或外翻的患儿。23名儿童38个四肢(14名女孩，9名男孩;平均年龄= 9.2岁，年龄范围= 3-17岁)，然后根据钢板在矢状面(前或中线)的位置分为两组。术前和术后分别从胫骨内侧和外侧平台测量TS。结果平均随访34.3个月(范围12 ~ 96个月)。18例置入前骺板患者术前、术后内侧TS平均值分别为4.05±5.65度和0.83±3.91度(P = 0.004)。18例置入前骺板患者术前、术后侧位TS平均值分别为4.88±5.33度和0.11±3.34度(P < 0.001)。放置中线骺板的20例患者，术前、术后平均TS分别为4.2±5.19度和4.9±6.02度(P = 0.532)。20例中线骺板置入患者术前、术后侧位TS平均值分别为5±5.51度和4.8±5.7度(P = 0.871)。术后位于前方的8块钢板TS降低，内侧和外侧平台测量值显著(P = 0.004和P < 0.001)。中线放置的8块钢板术后内侧和外侧平台的TS变化不显著(P = 0.532和P = 0.871)。结论:本研究结果表明，在骨骺前部放置钢板的儿童中，经8钢板引导生长后，TS降低。为防止TS改变，八钢板应放置在矢状面中线位置。证据水平:IV级，治疗性研究。

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

Acta orthopaedica et traumatologica turcica ORTHOPEDICS-

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.