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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 07
A Clinico-Radiological Study of Hemi-Epiphysiodesis Using Eight-Plate In Adolescents and Pediatric Age Group with Idiopathic Bilateral Genu Valgum
J Mothilal, D Narsimlu
Published: July 30, 2019 | 53 83
DOI: 10.36347/sjams.2019.v07i07.043
Pages: 2495-2498
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Abstract
Through this study, we endeavor to evaluate the results of hemi-epiphysiodesis of the distal femoral epiphysis with eight-plate for correcting the knock knee in the adolescent age group. This is a prospective longitudinal study in which 30 patients with idiopathic bilateral genu valgum were treated surgically by Hemi-epiphysiodesis using eight- plates. Patient evaluated with a radiograph and clinically assessed at every follow up till 36 months. We evaluated 30 patients who were surgically managed for idiopathic genu valgum over 36 months. The average age at surgery was 13 years and 7 months (range 11 years 8 months-14 years 6 months). The mean preoperative tibio-femoral angle was found out to be 17° with a standard deviation +/- 2.7°, and post-surgery the mean tibio-femoral angle was recorded to be 5° with a standard deviation +/- 1°. The total follow-up period was 36 months. Conclusions: Through the study, we conclude that hemi-epiphysiodesis using eight plates is a simple technique for correction of idiopathic genu valgum in adolescent and pediatric patients. It produces reproducible results, is cost-effective and ensures a rapid return to the pre-operative level of school and recreational activities.