Partial Epiphysiodesis at the Knee to Correct Angular Deformity

Bowen, J. Richard; Leahey, J L; Zhang, Z H; Gd, MacEwen

doi:10.1097/00003086-198509000-00027

Cited by 55 publications

(23 citation statements)

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“…The optimum ages for the operation are between 11 and 13 years in girls and 12 to 14 years in boys and leaves sufficient time for correction to occur [2,10]. If stapling is undertaken earlier, the remaining growth is difficult to predict and there is a higher rate of recurrence [10,11].…”

Section: Discussionmentioning

confidence: 99%

Idiopathic genu valgum treated by epiphyseodesis in adolescence

Volpon

1997

International Orthopaedics

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Section: Discussionmentioning

confidence: 99%

Idiopathic genu valgum treated by epiphyseodesis in adolescence

Volpon

1997

International Orthopaedics

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“…If, by contrast, it is the "opening" type, the risk of lesions by traction of the noble soft tissue increases and frequently it becomes necessary to graft bone to stabilize and facilitate consolidation at the level of the correction made. Regarding partial blockades of the growth plate, the main limitations to this are the patient's age when applying them (maximum, 10-11 years); their low predictability, which has recently improved with the tables of Bowen et al; 3 and the fact that shortening of the bone may occur. Also, when there is a physeal bony bridge, the maximum benefit that can be derived from blockade of the growth plate is the halting of the progression of the deformity but not the correction.…”

Section: Discussionmentioning

confidence: 99%

Correction of Angular Deformities by Physeal Distraction

Cañadell

1992

Clinical Orthopaedics and Related Research

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Physeal distraction is an alternative to more conventional treatments for the correction of angular deformities of the long bones. Twenty deformities of the femur and tibia, vine of which also involved associated shortening, were partially or completely corrected. In eight cases, there was physeal bony bridge. Complete correction of the angular deformity was achieved in 17 patients, and in seven patients, more than 80% correction was achieved. There were complications in four patients that hindered complete correction of the deformity, or shortening, or both. The external control of the correction until consolidation occurs is progressive and fairly noninvasive. The method allows external control of the correction until consolidation; it acts at the site of the deformity itself and permits lengthening and angular correction during therapy. In deformities with a physeal bony bridge, correction can be achieved with physeal distraction alone, prior resection of the bridge is not unnecessary. The technique is indicated in cases of angular deformities in patients nearing skeletal maturity and particularly in subjects in whom there is associated shortening.

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“…'nın yaptığı çalışmaya göre hastalarda tibiada ortalama yıllık 5° açısal düzelme sağlandığı gösterilmiştir. [23] Bu yaş grubu için düzelme sağlanması için…”

Section: Distraksiyon Osteogeneziunclassified

Tibial uniapikal deformitelerde tedavi

Özkan¹,

Mirioğlu²

2020

TOTBID

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büyümekte olan iskelete tek seferde kalıcı müdahalede bulunmak her zaman mümkün olmayıp devam eden büyüme nedeniyle nüks oluşabilmekle birlikte, dezavantaj gibi görülen bu durum büyümenin yönlendirilmesi amacına yönelik olarak, doğru zamanda uygulandığında tedavinin kalıcı sonuç vermesini sağlayabilmektedir. Dolayısıyla deformite tedavisinin sadece anatomik bölgeye ve açısal büyüklüğe göre değil, etiyoloji ve yaş faktörleri de göz önünde bulundurularak planlanması gereklidir. ETİYOLOJİÇocuk ve adölesan yaş grubunda deformiteler genellikle doğumsal, gelişimsel ve edinsel olarak U niapikal tibia deformitesi, tibianın tek apeksi (apex: tepe noktası) olan defomitelerini tanımlar. Diz ve ayak bilek eklem çevresinde dizilimi etkileyen tibia deformiteleri doğumsal veya edinsel nedenlere bağlı olarak görülebilir. Mekanik eksenin düzeltilmesi başta diz olmak üzere alt ekstremitenin diğer eklemlerinde uzun dönemde gelişebilecek dejenerasyonun engellenmesini sağlar. [1,2] Deformite, metafiz veya diyafiz yerleşimli olarak ortaya çıkabilir. Dikkatli bir klinik ve radyolojik değerlendirme ile apeksin tespit edilmesi, osteotominin nereye, ne şekilde yapılacağı ve kemik parçaların nasıl yönlendirileceği konusunda yol gösterir. Çocuk ve adölesanlar ile erişkin hastalarda deformite etiyolojisi ve klinik seyri farklıdır. [3] Deformiteli

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Partial Epiphysiodesis at the Knee to Correct Angular Deformity

Cited by 55 publications

References 0 publications

Idiopathic genu valgum treated by epiphyseodesis in adolescence

Idiopathic genu valgum treated by epiphyseodesis in adolescence

Correction of Angular Deformities by Physeal Distraction

Tibial uniapikal deformitelerde tedavi

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