دورية أكاديمية

Lower limb coronal malalignment correction by percutaneous osteotomy and schanz screws fixation.

التفاصيل البيبلوغرافية
العنوان: Lower limb coronal malalignment correction by percutaneous osteotomy and schanz screws fixation.
المؤلفون: Emara KM; Department of Orthopaedic Surgery, Ain Shams University Hospitals., Diab RA; Department of Orthopaedic Surgery, Ain Shams University Hospitals., Essa MN; Al Bank Al-Ahly Hospital, Cairo, Egypt., Eissa M; Department of Orthopaedic Surgery, Ain Shams University Hospitals., Elshobaky MA; Department of Orthopaedic Surgery, Ain Shams University Hospitals.; Al Bank Al-Ahly Hospital, Cairo, Egypt.; Arizona State University, Phoneix, Arizona, USA., Emara AK; Department of Orthopaedic Surgery, Ain Shams University Hospitals., Rashid K; Department of Orthopaedic Surgery, Ain Shams University Hospitals., Abuelwafa M; Al Bank Al-Ahly Hospital, Cairo, Egypt., Gemeah M; Arizona State University, Phoneix, Arizona, USA.
المصدر: Journal of pediatric orthopedics. Part B [J Pediatr Orthop B] 2024 Feb 26. Date of Electronic Publication: 2024 Feb 26.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9300904 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-5865 (Electronic) Linking ISSN: 1060152X NLM ISO Abbreviation: J Pediatr Orthop B Subsets: MEDLINE
أسماء مطبوعة: Publication: Philadelphia : Lippincott Williams & Wilkins
Original Publication: New York, NY : Raven Press, c1992-
مستخلص: Pediatric knee deformities are common, and the classic treatment is corrective osteotomy. The aim of this study to assess the safety and efficacy of percutaneous low-energy osteotomy and casting with shanz screws fixation in treatment of Genu varum in children equal or younger than 7 years. This is a prospective nonrandomized case series study was conducted. A total of 38 patients (total of 60 limbs: 36 varus and 24 valgus) were treated by percutaneous low-energy osteotomy and casting with shanz screws fixation and observed over 2-5 years. Clinical and radiological outcomes were evaluated at the end of follow-up period by standing scanogram which enabled tibiofemoral angles and the mechanical axis to be measured and the rate of complications. There was a statistically significant improvement of the radiographic parameters in the form of tibiofemoral angle and MAD. Clinically, all the cases were completely corrected just one patient (two limbs) complicated by over-correction but statically non-significant and. pin tract infection in shanz screws fixation was noticed in one Patient. Percutaneous low-energy osteotomy and casting with shanz screws fixation is a simple, safe, and effective method in dealing with 7 years and younger children with pathological knee deformities. Level of evidence: Therapeutic level IV.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20240307 Latest Revision: 20240307
رمز التحديث: 20240308
DOI: 10.1097/BPB.0000000000001176
PMID: 38451795
قاعدة البيانات: MEDLINE
الوصف
تدمد:1473-5865
DOI:10.1097/BPB.0000000000001176