Correcting Femoral Torsional Deformities in Children
Author Information
Author(s): Zaidman Michael, Simanovsky Naum, Goldman Vladimir, Weisstub Eden
Primary Institution: Pediatric Orthopedics, Hadassah—Hebrew University Medical Center, Jerusalem, Israel
Hypothesis
This study aims to assess the effectiveness of rotational femoral malalignment correction by rotational epiphysiodesis with tension band 8-plates.
Conclusion
Rotational guided growth using 8-plates is an effective, minimally invasive method for correcting femoral rotational deformities in children.
Supporting Evidence
- All patients reported functional gait improvement.
- The FPA was corrected from a mean of 32 degrees to 7 degrees.
- The femoral version improved from a mean of 60 degrees to 22 degrees.
- The angle between the 8-plates changed from a mean of 75 degrees to 28 degrees.
- No complications were observed during the treatment.
Takeaway
Doctors can help kids with leg problems by using a special plate that gently guides their bones to grow straight instead of doing big surgeries.
Methodology
The study involved a retrospective review of medical records and radiographs of pediatric patients treated with rotational guided growth using 8-plates.
Limitations
The study has a retrospective design, limited sample size, and variations in the underlying causes of rotational malalignments.
Participant Demographics
The cohort included five girls and six boys, with a mean age of 11.45 years, and seven patients had rotational malalignment related to cerebral palsy.
Statistical Information
P-Value
p<0.00001
Statistical Significance
p<0.00001
Digital Object Identifier (DOI)
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