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Introduction: Proper prediction of remaining lower limbs growth is crucial for determining the optimal timing of epiphysiodesis in patients with limb length discrepancies or the curvature occurred in knee joint occurred in children during rapid growth period. Several methods are commonly used in correction of such orthopedic problem. One of them is procedure of epiphysiodesis. The main goal of the study was to evaluate changes in the density of growth cartilage at the distal end of the thigh bone following epiphysiodesis, and to compare it with the cartilage density on the side without screw placement in the same limb, as well as with the contralateral side. Material and methods: The clinical study included 9 patients of both sexes (5 females and 4 males) who were treated at the Department and Clinic of Orthopedic Surgery, Medical University of Silesia in Katowice. Results: The regions of interest marked on the X-ray images from which the average pixel value have been derived. Conclusions: The conducted study demonstrated a statistically significant difference of over 50% the average pixel value between preoperative and postoperative measurements on the side where screws were placed (p = 0.01). Additionally, a significant difference of 50% was observed between the preoperative pixel value on the side designated for screw placement and the postoperative pixel value on the contralateral, non-operated side.
Słowa kluczowe
Rocznik
Tom
Strony
263--267
Opis fizyczny
Bibliogr. 14 poz., rys., tab.
Twórcy
autor
- MEGREZ Hospital, Tychy, Poland
autor
- University of Silesia, Faculty of Science and Technology, Katowice, Poland
autor
- University of Silesia, Faculty of Science and Technology, Katowice, Poland
autor
- University of Silesia, Faculty of Science and Technology, Katowice, Poland
autor
- University of Silesia, Faculty of Science and Technology, Katowice, Poland
- Department and Clinic of Orthopedic Surgery in Medical University of Silesia in Katowice, Katowice, Poland
Bibliografia
- 1. Bowen JR and Johnson WJ. Percutaneous epiphysiodesis. Clin Orthop Relat Res. 1984(190): 170-173.
- 2. Tirta M, Hjorth MH, Jepsen JF, Rahbek O, Kold S. Are percutaneous epiphysiodesis and Phemister technique effective in the treatment of leg-length discrepancy? A systematic review. J Pediatr Orthop B. 2024;33(6):543-551. doi: 10.1097/BPB.0000000000001160
- 3. Phemister D. Operative arrestment of longitudinal growth of bones in the treatment of deformities. J Bone Joint Surg. 1933; 15: 1-15.
- 4. Blount WP, Clarke GR. Control of bone growth by epiphyseal stapling. J Bone Joint Surg. 1949;31-A(3):464-478.
- 5. Stevens PM. Guided growth for angular correction: a preliminary series using a tension band plate. J Pediatr Orthop. 2007;27(3):253-259. doi:10.1097/BPO.0b013e31803433a1
- 6. Westh R, Menalaus M. A simple calculation for the timing of epiphyseal arrest: a further report. J Bone Joint Surg. 1981;63B:117-119.
- 7. Satoh M. „Bone age: assessment methods and clinical applications”. Clinical Pediatric Endocrinology. 2015;24:143-152.
- 8. Di Gennaro GL, Trisolino G, Stallone S, Ramella M, Rocca G, Gallone G. Guided Growth Technique for Epiphysiodesis and Hemiepiphysiodesis: Safety and Performance Evaluation. Children (Basel). 2023;11(1):49. doi: 10.3390/children11010049
- 9. Troy M, Shore B, Miller P, Mahan S, Hedequist D, Heyworth B, Kasser J, Spencer S, Glotzbecker M. A comparison of screw versus drill and curettage epiphysiodesis to correct leg-length discrepancy. J Child Orthop. 2018;12(5):509-514. doi: 10.1302/1863-2548.12.180030
- 10. Nazareth A, Gyorfi MJ, Rethlefsen SA, Wiseley B, Noonan K, Kay RM. Comparison of plate and screw constructs versus screws only for anterior distal femoral hemiepiphysiodesis in children. J Pediatr Orthop B. 2020;29(1):53-61. doi: 10.1097/BPB.0000000000000661
- 11. Frydrýšek K, Čepica D, Halo T, Skoupý O, Pleva L, Madeja R, Pometlová J, Losertová M, Koutecký J, Michal P, et al. Biomechanical Analysis of Staples for Epiphysiodesis. Appl Sci. 2022;12:614. doi: 10.3390/app12020614
- 12. Hucke L, Holder J, van Drongelen S, Stief F, Gámez AJ, Huß A, Wittek A. Influence of tension-band plates on the mechanical loading of the femoral growth plate during guided growth due to coronal plane deformities. Front Bioeng Biotechnol. 11:1165963. doi: 10.3389/fbioe.2023.1165963
- 13. Zuscik MJ, Hilton MJ, Zhang X, Chen D, O’Keefe RJ. Regulation of chondrogenesis and chondrocyte differentiation by stress. J Clin Invest. 2008;118(2):429-38. doi: 10.1172/JCI34174
- 14. Ağırdil Y. The growth plate: a physiologic overview. EFORT Open Rev. 2020;5(8):498-507. doi: 10.1302/2058-5241.5.190088
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Bibliografia
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