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The efficacy of physeal bar resection with guided growth in the treatment of physeal arrest with angular limb deformity

Authors
 Mohammed Salman Alhassan  ;  Kun Bo Park  ;  Hyun Woo Kim  ;  Hoon Park  ;  Kyeong Hyeon Park 
Citation
 SCIENTIFIC REPORTS, Vol.14(1) : 14052, 2024-06 
Journal Title
SCIENTIFIC REPORTS
Issue Date
2024-06
MeSH
Child ; Child, Preschool ; Female ; Femur* / abnormalities ; Femur* / growth & development ; Femur* / surgery ; Growth Plate / surgery ; Humans ; Male ; Retrospective Studies ; Tibia* / abnormalities ; Tibia* / growth & development ; Tibia* / surgery ; Treatment Outcome
Abstract
Premature physeal arrest can cause progressive deformities and functional disabilities of the lower limbs. This study addressed the outcomes after physeal bar resection with or without guided growth (temporary hemiepiphysiodesis) for the treatment of angular limb deformities. We retrospectively analyzed 27 patients (mean 9 years; range, 3-12 years) who underwent physeal bar resection of the distal femur (15 patients), proximal tibia (3 patients), and distal tibia (9 patients) between 2002 and 2020. Fifteen patients underwent physeal bar resection only (Group A), and the other twelve underwent simultaneous guided growth (Group B). The correction angle (angle change between the preoperative and last follow-up values) was compared and analyzed. The overall mean correction angle was 2.9° (range, - 9 to 18.3°). A total of 12 (45%) patients had a > 5° angular deformity improvement (mean, 9.6°; range, 5-18.3°), 9 (33%) had a < 5° angular change; and 6 (22%) had a > 5° worsening of the angular deformity (mean, 6.7°; range, 5.2-9°). The correction angle in Group B (mean 7.6° ± 6.2) was significantly higher than that in Group A (mean - 0.77° ± 6.3) (P = 0.01). We found six (40%) and zero patients with a > 5° angular deformity increase in Groups A and B, respectively (P < 0.047). The group that underwent physeal bar resection with guided growth showed significantly higher correction angles than the group that underwent physeal bar resection alone. Additionally, none of the patients in the guided growth group experienced an increased angular deformity. Therefore, combining guided growth with physeal bar resection may lead to better outcomes in the treatment of growth arrest with angular deformities.
Files in This Item:
T202404374.pdf Download
DOI
10.1038/s41598-024-64875-y
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
Park, Kun Bo(박건보) ORCID logo https://orcid.org/0000-0002-8839-4870
Park, Kyeong-Hyeon(박경현) ORCID logo https://orcid.org/0000-0001-7215-6176
Park, Hoon(박훈) ORCID logo https://orcid.org/0000-0002-8063-3742
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/200159
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