Role of Rotational Guided Growth in Management of Increased Femoral Anteversion

Ain Shams University

Status: Enrolling

Conditions: Increased Femoral Anteversion

Treatments: Device: Plate Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT06320769

24101994

Details and patient eligibility

About

Efficacy of guided growth in coronal plane deformity correction and limb length discrepancy has been well-established. Recently, studies have explored the validity of guided growth in correction of rotational deformity through a modified method of application.

This concept has been validated in animal studies, biomechanical studies and two limited human case series through different methods.

This study evaluates the efficacy of rotational guided growth in management of increased femoral anteversion using three different constructs.

Full description

The purpose of this study is:

1. Evaluate the efficacy of different constructs in correcting increased femoral anteversion clinically and radiographically.
2. Asses possible complications of this new concept including LLD, undesired coronal, sagittal plane deformity and stiffness.

Enrollment: 15 estimated patients

Sex: All

Ages: 8 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children with increased femoral anteversion causing in-toeing with decreased agility.
• Aged 8 years and above with at least two years of bone growth remaining.

Exclusion criteria

• Any patient who underwent previous femoral osteotomy.
• Any patient with sick physis (skeletal dysplasias, post traumatic / post infective physeal damage, active rickets).
• Cerebral Palsy (CP) patients

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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15 participants in 1 patient group

Rotational Guided Growth

Experimental group

Description:

o On a radiolucent operating table with the child supine, a torniquet is applied. The limb is prepped and draped. oA Kirschner wire is inserted in midsagittal plane of the distal femoral physis from medial to lateral under fluoroscopic guidance. After the initial step, One of three Surgical techniques might be used according to surgeon preference and patient age: * Plate technique * Non-absorbable suture technique * Cerclage wire technique

Treatment:

Device: Plate Technique