Journal of Pediatric Orthopaedics-Part B最新文献_第10页

Incidence of complications among operative pediatric supracondylar humerus fractures using medial and lateral pins: a safe technique for percutaneous medial pin placement. 小儿肱骨髁上骨折手术中使用内侧和外侧钢针的并发症发生率：经皮内侧钢针置入的安全技术。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-11-01 Epub Date: 2024-05-23 DOI: 10.1097/BPB.0000000000001189

Christopher D Minifee, Christine G DeFilippo, Kelly D Carmichael

{"title":"Incidence of complications among operative pediatric supracondylar humerus fractures using medial and lateral pins: a safe technique for percutaneous medial pin placement.","authors":"Christopher D Minifee, Christine G DeFilippo, Kelly D Carmichael","doi":"10.1097/BPB.0000000000001189","DOIUrl":"10.1097/BPB.0000000000001189","url":null,"abstract":"Cross-pinning of displaced pediatric supracondylar elbow fractures offers a superior stability construct. However, there is a reluctance to use this construct by closed means because of the risk of iatrogenic ulnar nerve injuries associated with percutaneous medial pin placement. This study describes a safe technique for closed reduction percutaneous with medial pin placement. This study reviewed the clinical charts of 232 pediatric patients who underwent closed reduction with cross-pinning of Gartland type II and III supracondylar fractures from 2000 to 2022 at a single institution. All surgeries were performed by the same attending surgeon at the same institution, with the same technique of medial pin placement. The inpatient and outpatient notes were used to record patient demographic information, fracture classification, and postoperative complications. A total of 232 pediatric patients [114 boys, 118 girls; mean age: 5.8 (range: 1-14) years] with Gartland type II ( n = 97) and III (n = 135) supracondylar fractures were included in the study. There were a total of seven (3.02%) postoperative complications: four (1.7%) ulnar neuropathies, two (0.86%) pin site infections, and one (0.43%) anterior interosseous nerve palsy. All documented postoperative complications were resolved by the 3-month follow-up visit. There were no complications of deep infection, malunion, or nonunion. With the proper technique, closed reduction with percutaneous medial pin fixation of pediatric supracondylar fractures is safe and produces excellent postoperative outcomes. Level of Evidence: Level IV, case series.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"585-589"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the recurrent pulled elbow. 了解复发性肘关节牵拉。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-11-01 Epub Date: 2024-01-22 DOI: 10.1097/BPB.0000000000001159

Ugur Bezirgan, Göksel Vatansever, Yener Yoğun, Orhun Eray Bozkurt, Ebru Dumlupinar, Necati Salman, Deniz Tekin

{"title":"Understanding the recurrent pulled elbow.","authors":"Ugur Bezirgan, Göksel Vatansever, Yener Yoğun, Orhun Eray Bozkurt, Ebru Dumlupinar, Necati Salman, Deniz Tekin","doi":"10.1097/BPB.0000000000001159","DOIUrl":"10.1097/BPB.0000000000001159","url":null,"abstract":"Nursemaid elbow is subluxation of the radius head seen in early childhood. The aim of this study was to examine the epidemiology of recurrent dislocations and the effect of hyperlaxity and bone anatomy on recurrent dislocations in these injuries, for which the pathogenesis has not been fully clarified. The study included a total of 329 paediatric patients who presented at the Paediatric Emergency Department (ED) between January 2016 and December 2022, and were diagnosed with Nursemaid Elbow. On presentation at ED, two-directional elbow radiographs were taken of all the patients and the radius head-neck ratio was measured on the lateral elbow radiograph. The Beighton score of joint hyperlaxity was evaluated in all the patients with a history of recurrent dislocation. A statistically significant difference was determined between the Beighton score groups in respect of the number of dislocations in multiple dislocations ( P = 0.002). No statistically significant relationship was determined between the number of dislocations and the lateral radius head/neck ratio ( P = 0.061). Hyperlaxity syndrome should be kept in mind in the aetiology of multiple dislocations.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"600-604"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are percutaneous epiphysiodesis and Phemister technique effective in the treatment of leg-length discrepancy? A systematic review. 经皮腓骨外固定术和 Phemister 技术对治疗腿长不一致有效吗？系统综述。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-11-01 Epub Date: 2024-02-05 DOI: 10.1097/BPB.0000000000001160

Maria Tirta, Mette Holm Hjorth, Jette Frost Jepsen, Ole Rahbek, Søren Kold

{"title":"Are percutaneous epiphysiodesis and Phemister technique effective in the treatment of leg-length discrepancy? A systematic review.","authors":"Maria Tirta, Mette Holm Hjorth, Jette Frost Jepsen, Ole Rahbek, Søren Kold","doi":"10.1097/BPB.0000000000001160","DOIUrl":"10.1097/BPB.0000000000001160","url":null,"abstract":"Epiphysiodesis is considered the preferred treatment for children predicted to have leg length discrepancies (LLDs) 2-5 cm at maturity. The aim of this study was to systematically review the existing literature on the effectiveness of permanent epiphysiodesis for LLD treatment, and secondarily to address the reported complications of permanent epiphysiodesis techniques. This systematic review was performed according to PRISMA guidelines. We searched MEDLINE (PubMed), Embase, Cochrane Library, Web of Science and Scopus for studies on skeletally immature patients with LLD treated with permanent epiphysiodesis. The extracted outcome categories were effectiveness of epiphysiodesis (LLD measurements pre/post-operatively, successful/unsuccessful), physeal fusion/arrest, and complications that were graded on severity. Forty-nine studies (3051 patients) were included, 1550 underwent Phemister/modified Phemister epiphysiodesis and 1501 percutaneous epiphysiodesis (PE). Total successful permanent epiphysiodesis surgeries (16 studies) were 73.7% (516/700). Only 13 out of 23 studies had a mean final LLD of less than 1.5 cm. In total, 17.5% (513/2936) of complications were reported. 57 angular deformities were reported (1.9%). Phemister technique had higher percentage of complications (39%) than PE (19.1%) in total, but when failure to achieve adequate reduction in LLD was not included, complication rates for both were close to 14%. However, severe complications were 10.2% for Phemister group and 5.1% for PE. The high complication rates and the relative low success rate call for optimization of the timing and the applied techniques when treating LLD with permanent epiphysiodesis. Phemister technique was found to have higher percentage of severe complications than PE. Registration: PROSPERO (CRD42023435177).","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"543-551"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hemiepiphysiodesis using tension band plates: does the insertion technique or screw length influence the rate of correction? 使用张力带钢板进行半腓骨牵引：插入技术或螺钉长度会影响矫正率吗？

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-11-01 Epub Date: 2023-12-14 DOI: 10.1097/BPB.0000000000001152

Anil Agarwal, Ankit Jain, Lokesh Sharma, Yogesh Patel, Varun Garg, Kishmita Sachdeva

{"title":"Hemiepiphysiodesis using tension band plates: does the insertion technique or screw length influence the rate of correction?","authors":"Anil Agarwal, Ankit Jain, Lokesh Sharma, Yogesh Patel, Varun Garg, Kishmita Sachdeva","doi":"10.1097/BPB.0000000000001152","DOIUrl":"10.1097/BPB.0000000000001152","url":null,"abstract":"We retrospectively studied the effect of certain characteristics of the insertion technique and the construct of tension band plates on its angular correction rates. The study included 68 physes in 28 children. The following preoperative radiological parameters were measured: interscrew angle; the length of the epiphyseal screw, its distance and angle (screw trajectory angle) with respect to the physis. Additionally, changes in the mechanical lateral distal femoral angle and medial proximal tibial angle were calculated from the follow-up radiographs. The statistical calculations involved correlating the above-mentioned parameters and correction rates using a correlation coefficient. The mean patient age at the time of surgery was 8.6 years and the follow-up was 12.1 months. The mean screw trajectory angle was 13.4 degrees, the interscrew angle 18.9 degrees and the proportion of screw length was 41.3%. The mean correction rate recorded was 1.1 degrees/ month. The child's age (R = -0.13), screw trajectory angle (R = -0.13), interscrew angle (R = -0.02), distance of screw from physis (R = 0.04), and length of screw (R = 0.07) did not show statistically significant correlation with the angular correction rates. The correction rate produced by the tension band plate was found nearly independent of the parameters recorded for insertion technique (screw trajectory angle, interscrew angle, distance of screw from the physis) or construct (length of the epiphyseal screw). It functions as long as the physis is tethered by a side plate adequately secured by appropriate length screws.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"539-542"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of the Gordon lateral rotation index in postoperative rotational evaluation of supracondylar humerus fractures: a study on validity, reliability, and applicability. 肱骨髁上骨折术后旋转评估中的戈登外侧旋转指数评估：有效性、可靠性和适用性研究。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-11-01 Epub Date: 2024-04-25 DOI: 10.1097/BPB.0000000000001183

Hayati Kart, Emrecan Akgün

{"title":"Assessment of the Gordon lateral rotation index in postoperative rotational evaluation of supracondylar humerus fractures: a study on validity, reliability, and applicability.","authors":"Hayati Kart, Emrecan Akgün","doi":"10.1097/BPB.0000000000001183","DOIUrl":"10.1097/BPB.0000000000001183","url":null,"abstract":"There are several methods for the assessment and follow-up of reduction of supracondylar humerus fractures, which offer the possibility of evaluation in different planes. The Gordon lateral rotation index (GLRI) is one of the methods used to assess the axial plane. This study aims to evaluate the validity, reliability, and applicability of the GLRI to assess rotational alignment. The study included 50 patients with Gartland type 3 supracondylar humerus fracture. After closed reduction, fixation with 2 lateral pins and 1 medial pin was applied to all patients. Eight observers made measurements using follow-up radiographs in the early postoperative period and at the 3 rd week. Gordon lateral rotation percentage (GLRP) significantly decreased from baseline to week 3 in all participants ( P < 0.01). When the intraclass correlation coefficient (ICC) between the GLRP measurements of the observers in the early postoperative period was examined, a moderate agreement of 0.453 was seen between measurements of the observers (ICC = 0.453; P = 0.001; P < 0.01). When the ICC between the 3 rd week GLRP measurements of the observers was analyzed, poor agreement of 0.294 was seen (ICC = 0.294; P = 0.001; P < 0.01). The GLRI has moderate validity, applicability, and reliability in the early postoperative period, and low validity, applicability, and reliability in the follow-up period. Consequently, GLRI is an objective method that can be used to assess rotational alignment in the early postoperative period of supracondylar humerus fractures. It is, however, not recommended for follow-up periods.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"580-584"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultrasound evaluation of the femoral trochlea in newborns: incidence of trochlear dysplasia and associated risk factors. 新生儿股骨滑车的超声评估：滑车发育不良的发生率及相关危险因素。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-11-01 Epub Date: 2023-10-31 DOI: 10.1097/BPB.0000000000001141

Javier Masquijo, Angeles Bruno, Agustina Warde, Carola Mónico, Florencia Turazza

{"title":"Ultrasound evaluation of the femoral trochlea in newborns: incidence of trochlear dysplasia and associated risk factors.","authors":"Javier Masquijo, Angeles Bruno, Agustina Warde, Carola Mónico, Florencia Turazza","doi":"10.1097/BPB.0000000000001141","DOIUrl":"10.1097/BPB.0000000000001141","url":null,"abstract":"This study aimed to describe the femoral groove morphology using ultrasound in children under 6 months, estimate the incidence of trochlear dysplasia, and evaluate associated risk factors. A prospective study included 298 patients who underwent universal ultrasound screening for hip dysplasia [developmental dysplasia of the hip (DDH)] and knee ultrasound. Measurements of sulcus angle (SA), trochlear depth (TD), and trochlear facet asymmetry (TFA) were analyzed. Trochlear dysplasia was considered present if the ASO was ≥159°. Reproducibility was assessed using the intraclass correlation coefficient (ICC) in 60 knees. Logistic regression adjusted for confounders, presenting odds ratios (OR) and 95% confidence intervals (CI). Significance was set at P < 0.05. Analysis included 596 knees (298 patients). Females accounted for 51% of patients, with 7% having breech presentation, 4.4% DDH, 6.4% family history of DDH, and 5% family history of patellofemoral instability. ICC showed excellent agreement for SA and TD, but poor for TFA. Trochlear dysplasia incidence was 3% (9/298; 67% bilateral). Median (IQR) values were 147.5 (144.0-150.5) for SA, 2.4 (2.2-2.8) for TD, and 1.1 (1.0, 1.1) for TFA. Breech presentation (OR, 9.68; 95% CI 1.92-48.71, P = 0.006) and concomitant DDH (OR 6.29, 95% CI 1.04-37.78, P = 0.044) were associated with trochlear dysplasia. Ultrasound effectively evaluates femoral groove morphology and diagnoses trochlear dysplasia in newborns. Trochlear dysplasia incidence was 3%, with a 10-fold higher risk in breech presentation and 6-fold higher risk in concomitant DDH. Standardized screening and timely treatment protocols should be further investigated. Level of evidence: Diagnostic Level II.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"519-523"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of posterior tibial slope relationship with common knee pathologies in pediatric and adolescent age groups in the Turkish population. 评估土耳其儿童和青少年群体中胫骨后斜坡与常见膝关节病变的关系。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-11-01 Epub Date: 2024-02-19 DOI: 10.1097/BPB.0000000000001171

Haluk Yaka, Onur Bilge, Ahmet Fevzi Kekeç, Mehmet Demiryürek, Mahmut Nedim Doral

{"title":"Evaluation of posterior tibial slope relationship with common knee pathologies in pediatric and adolescent age groups in the Turkish population.","authors":"Haluk Yaka, Onur Bilge, Ahmet Fevzi Kekeç, Mehmet Demiryürek, Mahmut Nedim Doral","doi":"10.1097/BPB.0000000000001171","DOIUrl":"10.1097/BPB.0000000000001171","url":null,"abstract":"Anterior cruciate ligament rupture (ACLR), tibial eminence fracture (TEF), and Osgood-Schlatter disease (OSD) have been linked to a steep posterior tibial slope (PTS) in children and adolescents. This study aims to examine and compare these associations. 418 patients aged 8-18, 237 males and 181 females with knee pain between 2010 and 2019 were included and the patients belonged to the Turkish population. They consisted of ACLR (n = 47), TEF (n = 22), OSD (n = 51), and a control group (n = 298). The study and control groups were compared for PTS, sex, and age, with ACLR, TEF, OSD, retrospectively. The ACLR, OSD, and TEF groups had higher PTS values than the control group ( P < 0.001). There was no significant difference in ACLR-OSD, ACLR-TEF, and OSD-TEF comparisons ( P = 0.22, P = 0.99, and P = 0.99, respectively). PTS increase was linked to ACLR, TEF, and OSD in the multinomial regression analysis, ( P < 0.001). Increase in PTS was associated with ACLR, TEF, and OSD for both males and females (independently of other factors; ACLR: P < 0.001, P < 0.001, OR: 1.59, OR: 2.63, TEF: P = 0.001, P < 0.001, OR: 1.98, OR: 1.44; OSD: P = 0.001, P < 0.001, OR: 1.49, OR: 1.28 for males and females respectively). ACLR, TEF, and OSD are associated with increased PTS in the pediatric and adolescent age groups, and there are differences between these pathologies in terms of the amount of PTS increase, age, and sex. Consideration of age and gender in pediatric and adolescent patients with increased PTS may be useful in predicting pathologies associated with increased PTS. Level of evidence: III retrospective comparative study.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"531-538"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Should I stay or should I go: an assessment of criteria for safe day of surgery discharge of displaced supracondylar humerus fractures. 该留还是该走：对肱骨髁上移位骨折手术当天安全出院标准的评估。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-11-01 Epub Date: 2024-10-01 DOI: 10.1097/BPB.0000000000001191

Andreas Rehm, Nicholas Judkins, Silvester Kabwama, Sebastian Ho, Ayla C Newton, Elizabeth Ashby

引用次数: 0

Outcomes of late-stages infantile Blount's disease managed by acute single stage: medial hemi-plateau elevation and metaphyseal osteotomy. Eight case series. 急性单期治疗晚期婴儿布朗特病的结果:内侧半平台抬高和干骺端截骨术。八个案例系列。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-11-01 Epub Date: 2023-11-16 DOI: 10.1097/BPB.0000000000001143

Vidyasagar Chandankere, Maryada Venkateshwarlu Reddy, Annapareddy Venkata Gurava Reddy

{"title":"Outcomes of late-stages infantile Blount's disease managed by acute single stage: medial hemi-plateau elevation and metaphyseal osteotomy. Eight case series.","authors":"Vidyasagar Chandankere, Maryada Venkateshwarlu Reddy, Annapareddy Venkata Gurava Reddy","doi":"10.1097/BPB.0000000000001143","DOIUrl":"10.1097/BPB.0000000000001143","url":null,"abstract":"This study aimed to evaluate the clinical and radiological outcomes of surgical intervention involving acute medial hemi-plateau elevation and metaphyseal osteotomy with internal fixation and growth modulation for late-stages Blount's disease. A retrospective analysis was conducted on consecutive patients with late-stages infantile tibia vara between 2014 and 2020. Inclusion criteria consisted of children aged 8 years and older with Blount's disease with Langenskiold stage IV, V or VI, tibia vara more than 30*, medial plateau depression angle (MPDA) exceeding 25* and knee instability with a minimum follow-up period of 3 years. Patients with Limb length discrepancy greater than 5 cm were excluded. Data collection included assessments of age, weight, disease stage, clinical tibiofemoral angle (TFA), mechanical medial proximal tibial angle (mMPTA), MPDA, tibial torsion and knee instability. Functional outcomes were evaluated using modified Pediatric Outcome Data Collection Instruments (PODCI) scores. The study included 5 children with 8 affected limbs. Among them, three children with five limbs had recurrent deformities after previous surgeries. All cases showed significant improvements in TFAs, mMPTA, tibial torsion, knee instability and modified PODCI scores. Complications included 4 cases of superficial infections, 1 intra-articular fracture, 2 minor screw breakage and 2 on-table under correction. Surgical intervention involving acute Single-stage medial hemi-plateau elevation and metaphyseal osteotomy leads to satisfactory outcomes in late-stages Blount's disease among older children. It is crucial to achieve proper correction of all deformity components during surgery, with epiphysiodesis on the lateral side to prevent further recurrence. Continuous follow-up until skeletal maturity is essential for optimal results.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"560-567"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lower limb coronal malalignment correction by percutaneous osteotomy and schanz screws fixation. 通过经皮截骨术和Schanz螺钉固定矫正下肢冠状位错位。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-11-01 Epub Date: 2024-02-26 DOI: 10.1097/BPB.0000000000001176

Khaled Mohamed Emara, Ramy Ahmed Diab, Mohamed N Essa, Mohamed Eissa, Mahmoud Ahmed Elshobaky, Ahmed K Emara, Kyrillos Rashid, Mahmoud Abuelwafa, Mostafa Gemeah

{"title":"Lower limb coronal malalignment correction by percutaneous osteotomy and schanz screws fixation.","authors":"Khaled Mohamed Emara, Ramy Ahmed Diab, Mohamed N Essa, Mohamed Eissa, Mahmoud Ahmed Elshobaky, Ahmed K Emara, Kyrillos Rashid, Mahmoud Abuelwafa, Mostafa Gemeah","doi":"10.1097/BPB.0000000000001176","DOIUrl":"10.1097/BPB.0000000000001176","url":null,"abstract":"Pediatric knee deformities are common, and the classic treatment is corrective osteotomy. The aim of this study to assess the safety and efficacy of percutaneous low-energy osteotomy and casting with shanz screws fixation in treatment of Genu varum in children equal or younger than 7 years. This is a prospective nonrandomized case series study was conducted. A total of 38 patients (total of 60 limbs: 36 varus and 24 valgus) were treated by percutaneous low-energy osteotomy and casting with shanz screws fixation and observed over 2-5 years. Clinical and radiological outcomes were evaluated at the end of follow-up period by standing scanogram which enabled tibiofemoral angles and the mechanical axis to be measured and the rate of complications. There was a statistically significant improvement of the radiographic parameters in the form of tibiofemoral angle and MAD. Clinically, all the cases were completely corrected just one patient (two limbs) complicated by over-correction but statically non-significant and. pin tract infection in shanz screws fixation was noticed in one Patient. Percutaneous low-energy osteotomy and casting with shanz screws fixation is a simple, safe, and effective method in dealing with 7 years and younger children with pathological knee deformities. Level of evidence: Therapeutic level IV.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"552-559"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0