계명대학교 의학도서관 Repository

Guided growth with a noncannulated screw–plate system for angular deformity of the knee: a preliminary report

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Author(s)
Hyun-Joo LeeChang-Wug OhKwang-Soon SongHee-Soo KyungWoo-Kie MinByung-Chul Park
Keimyung Author(s)
Song, Kwang Soon
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Journal of Pediatric Orthopaedics Part B
Issued Date
2012
Volume
21
Issue
4
Keyword
angular deformitycorrectionkneenoncannulated screw
Abstract
We assessed the result of guided growth for an angular knee deformity using a 3.5-mm noncannulated screw–plate system. Twenty-seven patients with angular deformities (10 distal femora, 13 proximal tibiae, and four both areas) underwent this procedure with the reconstruction plate and two noncannulated screws. Average age at the time of the procedure was 7.8 years and the average follow-up was 25.7 months. Except for one patient (two knees), 25 of 27 deformities showed a resolved outcome with a neutral alignment. The mechanical lateral distal femoral angle changed an average of 8.3° for 13 months and the medial proximal tibial angle changed an average of 7.7° for 11.8 months in the neutral state. The mean angle between the two screws was -2° in immediate postoperative radiographs and 23° in radiographs taken at the latest follow-up. Two patients showed a rebound outcome and one showed a failure of no correction. There was a superficial infection, but no mechanical failure of the screw and the plate was observed. The noncannulated screw–plate system may play a similar role of guided growth, to correct angular knee deformity, although a large series study with a long follow-up is required for a definitive conclusion.
Keimyung Author(s)(Kor)
송광순
Publisher
School of Medicine
Citation
Hyun-Joo Lee et al. (2012). Guided growth with a noncannulated screw–plate system for angular deformity of the knee: a preliminary report. Journal of Pediatric Orthopaedics Part B, 21(4), 339–347. doi: 10.1097/BPB.0b013e3283547198
Type
Article
ISSN
1060-152X
Source
https://insights.ovid.com/pubmed?pmid=22568964
DOI
10.1097/BPB.0b013e3283547198
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34218
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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