Correction of Bone Angular Deformities: Experimental Analysis of Staples Versus 8-plate

Abstract

Although both methods are effective in stopping the growth, the 8-plate has better grasp to the bone or epiphyseal cartilage avoiding extrusion in small children. The correction is faster using a staple and that is the reason why we prefer its usage in patients with little remnant growth.

The Efficacy and Complications of 2-Hole 3.5 mm Reconstruction Plates and 4 mm Noncanulated Cancellous Screws for Temporary Hemiepiphysiodesis Around the Knee

“…3,6 However, despite exact timing, sometimes growth of the diseased physis leads to undercorrection or overcorrection of the deformity 7,9,10 ; as a result, close follow-up is a necessity. 11 Stapling is associated with higher rates of breakage and extrusion 2,7,12,13 and transphyseal screws carry the risk for breakage and physeal bar formation. 2, 13 Stevens 3,14 described the concept of guide growth by nonlocking 8-plate and 2 screws.…”

Guided growth for the treatment of limb length discrepancy

“…The proposed plating technique is more precise and controlled compared with stapling, allowing accurate insertion even in younger children with smaller physis or in pathologic physes with a distorted anatomy [8,10]. It also offers more rapid correction, less linear inhibition, and fewer hardware failure problems compared with staples [10,11]. Despite the technical advantages of a tension band plate, complications do occur and include unpredictable rebound overgrowth after implant removal and mechanical failures [22,23].…”

“…Despite the technical advantages of a tension band plate, complications do occur and include unpredictable rebound overgrowth after implant removal and mechanical failures [22,23]. The higher correction rate of angular deformities demonstrated in preliminary series has also been questioned recently [7,8,11]. According to the only study in the literature comparing plating and stapling for correction of angular deformities about the knee, no difference was recorded between the two techniques in terms of the rate of correction and complication rates [8].…”

“…The implant comprises a flexible plate with two nonlocked screws placed in a way that does not disrupt the physis. The flexible plate has also proven reversibility and has been used effectively for the correction of angular deformities about the knee [7,[8][9][10][11].…”

The successful treatment of genu recurvatum as a complication following eight-Plate epiphysiodesis in a 10-year-old girl

“…The advantages of eight-Plates are fewer hardware failures, except if used in Blount's disease [13], easy insertion technique with guided growth instead of compressive force, and they leave the epiphysis untouched if performed correctly [1,2]. There are studies comparing eight-Plates with staples that suggest that eight-Plates are a good alternative for staples as they show less hardware failure and guide growth in a more controlled manner [2,14]. Usually, these methods are used for hemiepiphysiodesis.…”