Guided growth for angular correction in children: a comparison of two tension band plate designs

J Pediatr Orthop B. 2018 Jan;27(1):1-7. doi: 10.1097/BPB.0000000000000492.

Abstract

This retrospective cohort study examined 20 patients (48 physes), 11 boys and nine girls, who were treated with hinge-plate or eight-plate. The mean age of the patients at surgery was 11.9±2.6 years. The mean follow-up duration was 13±2.7 months. The radiographic measurement of both distal femoral and proximal tibial deformity showed significant correction, with no difference between the hinge-plate and the eight-plate. Both screw divergence angle and the hinge angle showed significant changes at the last follow-up. The deformity correction of the distal femoral physis was quicker than the proximal tibial physis. The rate of mechanical femoral-tibial angle correction was 0.97°/month if both femoral and tibial physes were treated.

Level of evidence: III.

MeSH terms

  • Adolescent
  • Bone Diseases, Developmental / surgery*
  • Bone Plates*
  • Child
  • Equipment Design
  • Female
  • Femur / diagnostic imaging
  • Femur / surgery
  • Humans
  • Joint Diseases / surgery*
  • Knee Joint / abnormalities*
  • Knee Joint / surgery*
  • Male
  • Retrospective Studies
  • Tibia / diagnostic imaging
  • Tibia / surgery