Temporary epiphysiodesis with Blount stapling for treatment of idiopathic genua valga in children. 2003

Ilse Degreef, and Pierre Moens, and Guy Fabry
University Hospital of Leuven, U.Z. Pellenberg, Belgium.

Not all idiopathic genua valga in children show an innocuous evolution. If the deformity persists or increases, it can cause a long-term cosmetic or functional problem. The problem can easily be corrected, with only limited risks for complications, with temporary medial hemi-epiphysiodesis of the growth plates around the knees. This retrospective study considers the pre- and postoperative evolution of 44 patients who underwent temporary stapling of the medial femoral and tibial physes following Blount's technique. Ninety percent were satisfied and showed good correction of the knee alignment. Four patients were not satisfied with the result, owing to recurrence of the valgus deformity; two of them had a good result after revision surgery. The condition was assessed by measuring clinically the intermalleolar distance and the radiological hip-knee-ankle angle. Average age at the time of surgery was 12 years six months for girls and 13 years eight months for boys. Pre-operative evaluation of skeletal age on radiographs of the hand is advised. There is a rebound phenomenon after hardware removal, with an average recurrence of the valgus deformity of 4 degrees. Blount stapling appears as a reliable method for treatment of idiopathic genua valga in children, with satisfactory results and few complications.

UI MeSH Term Description Entries
D007719 Knee Joint A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA. Superior Tibiofibular Joint,Joint, Knee,Joint, Superior Tibiofibular,Knee Joints,Superior Tibiofibular Joints,Tibiofibular Joint, Superior
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D008297 Male Males
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006132 Growth Plate The area between the EPIPHYSIS and the DIAPHYSIS within which bone growth occurs. Cartilage, Epiphyseal,Epiphyseal Cartilage,Epiphyseal Plate,Cartilages, Epiphyseal,Epiphyseal Cartilages,Epiphyseal Plates,Growth Plates,Plate, Epiphyseal,Plate, Growth,Plates, Epiphyseal,Plates, Growth
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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