Prediction of rebound phenomenon after removal of hemiepiphyseal staples in patients with idiopathic genu valgum deformity
| Autor: | June-Gone Kim, Sung Gwon Kang, Sung Sup Park |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Knee Joint Logistic regression Risk Assessment Genu Valgum Cohort Studies 03 medical and health sciences Sex Factors Surgical Staplers 0302 clinical medicine Predictive Value of Tests Recurrence Surgical Stapling medicine Humans Orthopedics and Sports Medicine In patient Growth Plate Prospective Studies 030212 general & internal medicine Child Device Removal 030222 orthopedics biology business.industry Incidence (epidemiology) Age Factors biology.organism_classification Skeletal maturity Genu valgum deformity Surgery Valgus Logistic Models Treatment Outcome Child Preschool Multivariate Analysis business Body mass index Follow-Up Studies |
| Zdroj: | The Bone & Joint Journal. :1270-1275 |
| ISSN: | 2049-4408 2049-4394 |
| Popis: | Aims Our aim was to investigate the predictive factors for the development of a rebound phenomenon after temporary hemiepiphysiodesis in children with genu valgum. Patients and Methods We studied 37 limbs with idiopathic genu valgum who were treated with hemiepiphyseal stapling, and with more than six months remaining growth at removal of the staples. All children were followed until skeletal maturity or for more than two years after removal of the staples. Results On multivariate logistic regression analysis, the rate of correction, body mass index (BMI), age, and initial valgus angle were significantly associated with a rebound phenomenon. With those characteristics, a predictive model for rebound was generated using recursive partitioning analysis. Children with a rapid rate of correction had the most frequent and severe rebound phenomenon (incidence 79%, mean 4°), whereas those with a slow rate of correction had less rebound when they had low BMI (43%, 2°) and none when the BMI was ≥ 21 kg/m2. Conclusion This is the first study to evaluate a predictive model for a rebound phenomenon after temporary hemiepiphysiodesis in children with idiopathic genu valgum. Cite this article: Bone Joint J 2016;98-B:1270–5. |
| Databáze: | OpenAIRE |
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