Épiphysiodèse percutanée dans le traitement du genu valgum de l'adolescent. [Percutaneous epiphysiodesis in the treatment of adolescent genu valgum]

Details

Serval ID
serval:BIB_E41D953FE178
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Épiphysiodèse percutanée dans le traitement du genu valgum de l'adolescent. [Percutaneous epiphysiodesis in the treatment of adolescent genu valgum]
Journal
Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Moteur
Author(s)
Dutoit M.
ISSN
0035-1040 (Print)
Publication state
Published
Issued date
11/1998
Volume
84
Number
7
Pages
623-7
Notes
English Abstract Journal Article --- Old month value: Nov
Abstract
Persistent genu valgum in adolescent induce abnormal gait and functional disturbances. Surgical correction should prevent secondary osteoarthritis. MATERIAL AND METHODS: Twenty three percutaneous epiphysiodesis in 12 children are reviewed at the end of growth. The surgical technique and the X-ray evaluation and timing calculation of epiphysiodesis according to Bowen are described. RESULTS: The supine intermalleolar distance is reduced from 11.8 cm to 2.8 cm. The femoro-tibial angle is reduced from 12.9 degrees to 7.9 degrees and distance between mechanical axis and center of knee from 25.3 mm to 8.6 mm. These results are very good, without any complications. DISCUSSION: Percutaneous epiphysiodesis is really a mini-invasive and cost effective method for treatment of genu valgum. The results are at least as good as in Blount stapling without any complication or second surgery for hardware removal. The timing of epiphysiodesis remain a difficult problem and the physician should be very cautious in determining the good time for surgery. CONCLUSION: Percutaneous epiphysiodesis is today the treatment of choice for genu valgum. This method is non invasive and cost effective.
Keywords
Adolescent *Bone Nails Child Cost-Benefit Analysis Curettage/economics/instrumentation/*methods Epiphyses/*surgery Female Follow-Up Studies Gait Humans Knee/*abnormalities/physiopathology/radiography/*surgery Male Osteoarthritis, Knee/etiology/prevention & control Treatment Outcome
Pubmed
Web of science
Create date
28/01/2008 12:14
Last modification date
20/08/2019 16:07
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