Surgical Correction of Coxa Vara by Valgus Osteotomy Using Plate Versus Monolateral External Fixator | ||||
| The Egyptian Orthopaedic Journal | ||||
| Volume 60, Issue 2, June 2025, Page 114-119 PDF (481.68 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/EOJ.2025.431790 | ||||
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| Authors | ||||
Mohamed Rabie Abdalla Saleh  1; Mohamed Abo Zeid2
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| 1Department of Orthopedics, Faculty of Medicine, Helwan University, Helwan, Egypt. | ||||
| 2Department of Orthopedics, Faculty of Medicine, Banha University, Egypt. | ||||
| Abstract | ||||
| Background Efficient surgical repair of coxa vara can be challenging, including thorough clinical and radiological evaluation, preoperative strategy, implant choice, and attentive surgical intervention. Patients and Methods To compare the outcome of surgical correction of developmental coxa vara with traditional plate versus monolateral external fixator, Methods; This study included 20 children with developmental coxa vara ,the mean age at initial surgery was 10.1 years (range 7 to 11 years). The studied children were randomized and divided according to surgical management into; group (A) with monolateral external fixator and group (B) with traditional plate. Hilgenreiner-epiphyseal angle (HEA) and the femoral neck-shaft angle (FNSA) were measured before surgery and at latest follow-up. Results After treatment, the mean FNSA in fixator group was significantly increased to 129.10±3.35 degrees and in plate group significantly increased to 125.40±3.17 degrees. Postoperatively, we recorded a mean ATD of 11.70±3.20mm, with significant changes (p=0.005) in fixator group and plate group showed a mean ATD of 8.70±2.15mm, with significant changes (p=0.005). Postoperative FNSA and ATD improved significantly in fixator group than plate group (p=0.021&0.024, respectively). There was a significant decrease in HE angles postoperative compared to preoperative in both groups (p=0.005). Also, postoperative HE angles improved significantly in fixator group than plate group (p=0.044). Conclusions Surgical correction of coxa vara by monolateral external fixator have a higher significant outcome than plate with easily reproducible, efficient in deformity correction and no evidence of deformity recurrence. | ||||
| Keywords | ||||
| Coxa Vara; Monolateral External Fixator; Valgus Osteotomy | ||||
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