Guided Growth for Genu Valgum Deformity in Children

Omar, Mahmoud; Idris, Khaled; Megahed, Riad; Mohammed, Mohammed

doi:10.21608/zumj.2019.14025.1280

Guided Growth for Genu Valgum Deformity in Children

Document Type : Original Article

Authors

¹ orthopedic surgery department, faculty of medicine , zagazig university

² orthopedic surgery,department

³ Orthopedic Surgery Department Faculty of Medicine; Zagazig University Zagazig, Egypt

10.21608/zumj.2019.14025.1280

Abstract

Introduction: Genu valgum that develops during the childhood years may contribute to anterior knee pain, patellofemoral instability, circumduction gait, and difficulty running. Lateralization of the mechanical axis places pathologic stresses on the anterior and lateral compartments of the knee, posing the risk of accelerated degenerative changes
Objective: To evaluate results of correction of genu valgum deformity in children by guided growth.
Methods: The prospective study was carried out in Orthopedic Surgery Department, Beni Suef General Hospital and Orthopedic Surgery Department at Zagazig University Hospital on 12 children with genu valgum attending for guided growth using a flexible two-hole titanium plate.
Results: In our study we evaluate 12 patients 3-14years old mean age 7±2.6 years old, 41.7%, 58.3% female, 58.3% unilateral, 44.7% bilateral. These 12 patients prospectively followed up for 12-32 months with average 18.3 months.
Conclusion: This study has confirmed the reversible nature of growth inhibition on the physis produced by a bridging flexible titanium plate and has demonstrated its value in correcting deformities around the knee. The procedure is technically simple and has significant potential for treating genu valgum for many children without the need for osteotomy. The simplicity and cost-effectiveness of this minimally invasive technique make it an attractive alternative to more complex methods of limb deformity correction.

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