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

Not Applicable
Recruiting
Conditions
Genu Varum
Interventions
Device: Hemiepiphysiodesis
Procedure: Eight-Plates first described by Stevens are simple to use
Device: Hemiepiphysiodesis by eight Plate
Registration Number
NCT06630975
Lead Sponsor
Al-Azhar University
Brief Summary

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

Detailed 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

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
2
Inclusion Criteria
  • Growth plate still open at Time of Surgery
Exclusion Criteria
  • Epiphyseal plate involved in trauma resulting in a bridging callus formation,

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Comparative Study between Growth guided Correction By ( 8 Plate )Eight-Plates first described by Stevens are simple to useCoronal angular deformities of lower limb in children are a common finding in pediatric orthopedic surgery.
Comparative Study between Growth guided Correction By ( 8 Plate )Hemiepiphysiodesis by eight PlateCoronal angular deformities of lower limb in children are a common finding in pediatric orthopedic surgery.
Comparative Study between Growth guided Correction By ( 8 Plate )HemiepiphysiodesisCoronal angular deformities of lower limb in children are a common finding in pediatric orthopedic surgery.
Comparison the Result of Growth guided Correction to OsteoclasisHemiepiphysiodesis by eight PlateThese 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
Clinical ,Radiological of Comparison the Result of Growth guided Correction to Osteoclasis in manaHemiepiphysiodesisThese 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
Clinical ,Radiological of Comparison the Result of Growth guided Correction to Osteoclasis in manaEight-Plates first described by Stevens are simple to useThese 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
Clinical ,Radiological of Comparison the Result of Growth guided Correction to Osteoclasis in manaHemiepiphysiodesis by eight PlateThese 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
Comparison the Result of Growth guided Correction to OsteoclasisHemiepiphysiodesisThese 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
Comparison the Result of Growth guided Correction to OsteoclasisEight-Plates first described by Stevens are simple to useThese 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
Genu VarumHemiepiphysiodesisThese 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
Genu VarumEight-Plates first described by Stevens are simple to useThese 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
Genu VarumHemiepiphysiodesis by eight PlateThese 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
Primary Outcome Measures
NameTimeMethod
Comparative Study Between Growth Guided Correction By ( 8 Plate ) and Corrective Osteoclasis in Management of Coronal Deformity of Lower Limb in Children1 year

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

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Mohammad Osama Hamdy

🇪🇬

Assiut, Egypt

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