Comparative Study between Percutaneous Screw Versus 8 Plate in Management of Genu Valgum in Children | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 4, April 2025, Page 220-226 PDF (656.85 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aimj.2025.446528 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Labib Yousry Abdelghany; Ahmed Ismail Hammouda; Ahmed Shaban Ali Hassan | ||||
| Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Genu valgum is a common orthopaedic problem in children. Defined as lateral mechanical axis deviation and may be physiological and pathological. Aim: This study aimed to compare between percutaneous screw and 8 plate in management of genu valgum in kids. Patients and methods: This prospective investigation included 20 cases with genu valgum coming to outpatient clinic of AL-Azhar university hospital (Al Hussien and Sayed Galal Hospital) Between a duration of February 2024 to February 2025. Results: The 8-plate group demonstrated a significantly higher mean correction rate p = 0.004 and a longer implant duration p = 0.047 compared to the percutaneous screw group. While the initial IMD was slightly higher in the 8-plate group p = 0.094, the final IMD reduction was significantly greater in the 8-plate group p < 0.001, indicating superior correction. However, 20% of cases in the 8-plate group experienced correction failure, whereas no failures occurred in the screw group. Implant migration was absent in both groups, and a single infection (10%) occurred in the screw group, with no significant distinction compared to the 8-plate group (p > 0.05). Conclusion: Both the Percutaneous Screw and 8-Plate techniques show similar results in terms of demographic and clinical characteristics, but the 8-Plate technique has a higher correction rate and smaller final intermalleolar distance, indicating superior deformity correction. Both techniques have a low incidence of complications, with the 8-Plate group having a slightly higher risk of failure, overcorrection, and infection. | ||||
| Keywords | ||||
| Percutaneous Screw; 8-Plate, Genu Valgum; Children | ||||
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