Lower limb coronal malalignment correction by percutaneous osteotomy and schanz screws fixation.
J Pediatr Orthop B
; 2024 Feb 26.
Article
en En
| MEDLINE
| ID: mdl-38451795
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.
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Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
J Pediatr Orthop B
Asunto de la revista:
ORTOPEDIA
/
PEDIATRIA
Año:
2024
Tipo del documento:
Article