Guided growth for correction of axial deformities of the knee in children: a literature review

Abstract

Literature review was performed for axial deformities of the knee in children and possible correction by guided growth, which aims to restore the mechanical axis of the lower limbs by targeting the growth plate. In 2004, P. Stevens proposed temporarily blocking the bone growth plate with metal plate and two screws. The method includes the extraperiosteal placement of the metal plate at a certain segment of the growth plate (i.e., at the top of or in plane with the deformity). Its advantages are minimal invasiveness, higher accuracy and reliability, and ease and efficiency of use. In addition, there is a negligible risk of possible complications. The method of guided growth is a preferable alternative to osteotomy for the correction of the axial deformity of the knee joint in children and should be more widely used in the everyday practice of pediatric orthopedic surgeons.

Application of the Method of Temporary Blocking of Growth Zones in the Treatment of Deformities of the Lower Extremities in Children

“…В 2004 г. P.M. Stevens представил данные по эффективному применению пластины с двумя винтами для малоинвазивной коррекции деформаций нижних конечностей [8,9,10].…”

Growth Modulation With Reconstruction Plate for Genu Valgum Deformity in Twins: A Case Report and Literature Review‌

“…Coronal deformities cause cosmetic problems, pain, functional difficulties in gait patterns, and soft tissue changes (4,5). Genu valgum reasons vary from an idiopathic form and post-traumatic to congenital syndromes and bone dysplasia, like arthrogryposis/vitamin D resistance rickets, and so on (1,6,7). Many of these deformities are physiological and could spontaneously subside without interventions.…”

Reproducibility of the Basic X-Ray Parameters of Lower Extremity Deformations in Children With Skeletal Dysplasia

“…Т Р А В М А Т О Л О Г И Я И О Р Т О П Е Д И Я Р О С С И И Том 24, № 1, 2018 введение угловые деформации нижних конечностей приводят к неравномерному распределению нагрузки на разные отделы коленного сустава, что может способствовать развитию остеоартрита [1,2]. при этом основной целью устранения этих деформаций является перераспределение нагрузки на коленный сустав в результате восстановления механической оси нижней конечности [3,4]. Для определения величины деформации, ее вершины, а также степени необходимой коррекции используют различные методы расчета.…”