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Hemiepiphysiodesis for coronal angular knee deformities: tension-band plate versus percutaneous transphyseal screw

  • Orthopaedic Surgery
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Abstract

Introduction

Pediatric coronal plane knee deformities can be treated surgically using hemiepiphysiodesis. The two leading techniques used for hemiepiphysiodesis are: tension-band plates (TBP) and percutaneous transphyseal screws (PETS). We hypothesized that PETS would lead to faster guided correction of angular knee deformities than TBP.

Materials and methods

A retrospective cohort of 35 patients treated with either TBP or PETS in one medical institution was established. The cohort included both genu varum and genu valgum of both primary and secondary etiologies. We first compared the treatment groups for differences in demographic and malalignment characteristics. Then, we compared the treatment groups for differences in operation-related outcomes, radiological mechanical correction and complication rates.

Results

We found that the use of PETS, compared to TBP, was associated with a faster implantation surgery and a shorter interval between implantation and removal, i.e., faster correction. Furthermore, PETS were associated with faster correction rates of the mechanical axis deviation, lateral distal femoral angle and medial proximal tibial angle. No significant differences in complication rates were found between the two treatments.

Conclusion

PETS provided a faster correction of angular knee deformities compared to TBP at similar complication rates. Hence, PETS could be considered a superior technique for hemiepiphysiodesis.

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Authors and Affiliations

  1. Medical Corps, Israel Defense Forces, Military Post, 02149, Ramat Gan, Israel

    Galina Shapiro & Tohar Adato

  2. Pediatric Orthopedics Unit, Department of Orthopedic Surgery, Assuta Ashdod Medical Center, Ashdod, Israel

    Ron Lamdan

  3. Pediatric Orthopedics Unit, Department of Orthopedic Surgery, Kyriat Hadassah, Hadassah-Hebrew University Medical Center, POB 12000, 91120, Jerusalem, Israel

    Shai Paz, Shrabaty Tareq, Simanovsky Naum, Zaidman Michael & Goldman Vladimir

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  1. Galina Shapiro
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Correspondence to Goldman Vladimir.

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Shapiro, G., Adato, T., Paz, S. et al. Hemiepiphysiodesis for coronal angular knee deformities: tension-band plate versus percutaneous transphyseal screw. Arch Orthop Trauma Surg 142, 105–113 (2022). https://doi.org/10.1007/s00402-020-03602-4

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  • DOI: https://doi.org/10.1007/s00402-020-03602-4

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