Risk factors for failure of temporary hemiepiphysiodesis in Blount disease: a systematic review.


Journal

Journal of pediatric orthopedics. Part B
ISSN: 1473-5865
Titre abrégé: J Pediatr Orthop B
Pays: United States
ID NLM: 9300904

Informations de publication

Date de publication:
Jan 2020
Historique:
pubmed: 12 2 2019
medline: 3 6 2020
entrez: 12 2 2019
Statut: ppublish

Résumé

There is limited information regarding the use of temporary hemiepiphysiodesis for Blount disease. We performed a systematic review of patients treated for Blount disease using either extraperiosteal staples or plates to identify characteristics affecting clinical outcome, including the need for unplanned procedures. A total of 53 patients (63 bone segments) underwent temporary hemiepiphysiodesis at a mean age of 8.8 years (1.8-14.7 years). Overall, 32/63 (51%) segments achieved neutral mechanical axis and 31/63 (49%) underwent unplanned subsequent procedures, with or without a subsequent osteotomy. On the basis of the available heterogeneous data, neither age at index surgery nor the type of implant correlated with the need for unplanned additional surgeries.

Identifiants

pubmed: 30741749
doi: 10.1097/BPB.0000000000000603
pii: 01202412-202001000-00011
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

65-72

Références

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Auteurs

Bensen Fan (B)

Department of Orthopedics, Rutgers New Jersey Medical School, Newark, New Jersey.

Caixia Zhao (C)

Department of Orthopedics, Rutgers New Jersey Medical School, Newark, New Jersey.

Sanjeev Sabharwal (S)

Department of Orthopedics, University of California San Francisco, Benioff Children's Hospital of Oakland, Oakland, California, USA.

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