Hemiepiphysiodesis by Eight Plate Versus Osteotomy in the Management of Pediatric Coronal Knee Deformities

Al-Azhar University

Status: Enrolling

Conditions: Genu Varum

Treatments: Procedure: Eight-Plates first described by Stevens are simple to use; Device: Hemiepiphysiodesis; Device: Hemiepiphysiodesis by eight Plate

Study type: Interventional

Funder types: Other

Identifiers

NCT06630975

HEPVOMPCKD

Details and patient eligibility

About

Coronal angular deformities of lower limb in children are a common finding in pediatric orthopedic surgery.These angular deformities can be idiopathic in origin, or they can emerge secondary to congenital and acquired abnormalities. Persistent coronal plane deformities around knee (genu varum/valgum) could lead to meniscal tears, collateral ligament laxity, cartilage degeneration, and early osteoarthritis due to gradual mechanical axis disruption

Full description

Eight-Plates first described by Stevens are simple to use .Moreover, owing to the flexible screw/plate connection, fewer complications in terms of implant loosening and fracture can be expected.Good results aswell as low reboundand complication rates have been recorded for the first series of cases

Enrollment: 2 estimated patients

Sex: All

Ages: 2 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Growth plate still open at Time of Surgery

Exclusion criteria

• Epiphyseal plate involved in trauma resulting in a bridging callus formation,

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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2 participants in 4 patient groups

Comparative Study between Growth guided Correction By ( 8 Plate )

Experimental group

Description:

Coronal angular deformities of lower limb in children are a common finding in pediatric orthopedic surgery.

Treatment:

Device: Hemiepiphysiodesis by eight Plate

Device: Hemiepiphysiodesis

Procedure: Eight-Plates first described by Stevens are simple to use

Clinical ,Radiological of Comparison the Result of Growth guided Correction to Osteoclasis in mana

Other group

Description:

These angular deformities can be idiopathic in origin, or they can emerge secondary to congenital and acquired abnormalities. Valgus deformities in excess of 10\* can cause anterior knee pain, circumduction gait, and occasionally patellofemoral instability. Varus deformities may result in lateral thrust, ligamentous laxity, and a waddling gait , meniscal tears, collateral ligament laxity, cartilage degeneration, and early osteoarthritis due to gradual mechanical axis disruption

Treatment:

Device: Hemiepiphysiodesis by eight Plate

Device: Hemiepiphysiodesis

Procedure: Eight-Plates first described by Stevens are simple to use

Comparison the Result of Growth guided Correction to Osteoclasis

Active Comparator group

Description:

These angular deformities can be idiopathic in origin, or they can emerge secondary to congenital and acquired abnormalities. Valgus deformities in excess of 10\* can cause anterior knee pain, circumduction gait, and occasionally patellofemoral instability. Varus deformities may result in lateral thrust, ligamentous laxity, and a waddling gait , meniscal tears, collateral ligament laxity, cartilage degeneration, and early osteoarthritis due to gradual mechanical axis disruption

Treatment:

Device: Hemiepiphysiodesis by eight Plate

Device: Hemiepiphysiodesis

Procedure: Eight-Plates first described by Stevens are simple to use

Genu Varum

Active Comparator group

Description:

These angular deformities can be idiopathic in origin, or they can emerge secondary to congenital and acquired abnormalities. Valgus deformities in excess of 10\* can cause anterior knee pain, circumduction gait, and occasionally patellofemoral instability. Varus deformities may result in lateral thrust, ligamentous laxity, and a waddling gait , meniscal tears, collateral ligament laxity, cartilage degeneration, and early osteoarthritis due to gradual mechanical axis disruption

Treatment:

Device: Hemiepiphysiodesis by eight Plate

Device: Hemiepiphysiodesis

Procedure: Eight-Plates first described by Stevens are simple to use