Comparative Study between Eight Plate and Staples in the Management of Angular Knee Deformities in Children Older than 3 Years Attending Suez Canal University Hospital

Abo Elfadl, Sameh M.; Mahdy, Marwa M.; Helaly, Ayman A. ,; Samaan, Sam S.

doi:10.21608/scumj.2024.344968

Comparative Study between Eight Plate and Staples in the Management of Angular Knee Deformities in Children Older than 3 Years Attending Suez Canal University Hospital

Document Type : Original Article

Authors

¹ Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Suez Canal University,

² Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Suez Canal University

10.21608/scumj.2024.344968

Abstract

Background:Most of the angular deformities of pediatric knees are benign and disappear without any interventions by the age of eight years. The ones that don't resolve cause gait disturbance, pain, cosmetic problems, and early joint degeneration so they need to be corrected. Aim: This study aimed to evaluate the correction rate of angular deformities around the knee by guided growth using eight-plate versus stapling. Patients and Methods: The design of this study is a randomized controlled clinical trial that included 20 patients, 16 bilateral and 4 unilateral, a total of 36 angular deformed knees with open physis presenting to Orthopedics clinic, Suez Canal University Teaching hospitals. The study participants were assigned to two groups: Group 1: deformed knees had been treated with eight-plate and Group B: deformed knees had been treated with staples. Results: The overall correction rate of the tibio-femoral angle (TFA) was 1.67 degrees per month for staples and 1.8 degrees per month for eight plates (p < /em> = 0.70). The correction in medial proximal tibial angle (MPTA) was significantly better in the eight-plate group (p < /em>=0.539). Implant-related complications were identified as implant failure in one patient of the staples group and another patient with superficial infection in the eight-plate group. Conclusion: Eight-plate is as effective as staples in the correction of the tibio-femoral angle and provides better improvement of the medial proximal tibial angle. We recommend both eight-plate and staples as effective devices to be used in the correction of angular knee deformities in children.

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