Systematic Review Study of The Using of “Guided Growth” For Correction of Coronal Deformities Around The Knee in Skeletal Immature Children
El Hosainy, M., Kazem, G., Farag, H. (2020). Systematic Review Study of The Using of “Guided Growth” For Correction of Coronal Deformities Around The Knee in Skeletal Immature Children. EKB Journal Management System, 37(2), 382-390. doi: 10.21608/bmfj.2020.73929
Mohammed Refaat El Hosainy; Galal Kazem; Hosam Farag. "Systematic Review Study of The Using of “Guided Growth” For Correction of Coronal Deformities Around The Knee in Skeletal Immature Children". EKB Journal Management System, 37, 2, 2020, 382-390. doi: 10.21608/bmfj.2020.73929
El Hosainy, M., Kazem, G., Farag, H. (2020). 'Systematic Review Study of The Using of “Guided Growth” For Correction of Coronal Deformities Around The Knee in Skeletal Immature Children', EKB Journal Management System, 37(2), pp. 382-390. doi: 10.21608/bmfj.2020.73929
El Hosainy, M., Kazem, G., Farag, H. Systematic Review Study of The Using of “Guided Growth” For Correction of Coronal Deformities Around The Knee in Skeletal Immature Children. EKB Journal Management System, 2020; 37(2): 382-390. doi: 10.21608/bmfj.2020.73929

Systematic Review Study of The Using of “Guided Growth” For Correction of Coronal Deformities Around The Knee in Skeletal Immature Children

Benha Medical Journal
Article 6, Volume 37, Issue 2, June 2020, Page 382-390  XML PDF (760.06 K)
Document Type: Review Article
DOI: 10.21608/bmfj.2020.73929
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Authors
Mohammed Refaat El Hosainy email 1; Galal Kazem2; Hosam Farag2
1Orthopaedic surgery department,Faculty of medicine, Benha university
2Department of Orthopaedic surgery ,Faculty of medicine, Benha University , Egypt
Abstract
Angular deformities of the lower limbs are common during childhood. The concept of guided growth using a tension band plate is a breakthrough in the surgical correction of angular deformities. This approach has yielded satisfactory results and has low complication rates.We reviewed 210 papers with overall 433 patients and 809 deformities. Inclusion criteria included papers published from 2010 to 2017 in English literature. A Systematic review was done on 16 papers with seven outcomes: Change in mechanical axis deviation, tibiofemoral angle, rate of excellent outcomes, implant breakage, implant migration, inadequate reduction and rebound phenomenon. Thirty-two studies were included. Fifteen of them studied treatment of angular deformities by guided growth, three discussed the complications of using guided growth and five studies discussed biomechanics of using guided growth. Sixteen studies were included in our systematic review. Guided growth is effective in treating coronal deformities around the knee in skeletally immature children whether the cause was idiopathic or pathological. There is no limitation except if physeal bar is developed or the patient was near maturity. Few complications are associated with guided growth techniques including rebound phenomenon, inadequate reduction, implant breakage and implant migration.
Keywords
Guided growth; Eight plate; Staples
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