THE RESULTS OF GUIDED GROWTH VERSUS CORRECTIVE OSTEOTOMY IN TREATMENT OF CORONAL PLANE DEFORMITY AROUND THE KNEE IN SKELETALLY IMMATURE PATIENTS

Mohamed Shokry Hatata; Hany Mohamed Hamed; Hatem Elsayed Ahmed Elgohary; Hossam Eldeen Mohamed

doi:10.46903/gjms/23.4.Suppl.2058

THE RESULTS OF GUIDED GROWTH VERSUS CORRECTIVE OSTEOTOMY IN TREATMENT OF CORONAL PLANE DEFORMITY AROUND THE KNEE IN SKELETALLY IMMATURE PATIENTS

Mohamed Shokry Hatata, Hany Mohamed Hamed, Hatem Elsayed Ahmed Elgohary, Hossam Eldeen Mohamed

Abstract

Background: The most prevalent orthopedic conditions in children are coronal deformities that affect the knee. The objectives of this study were to evaluate the clinical and radiological implications of knee-guided growth versus corrective osteotomy in the coronal plane deformity around the knee treatment, this study sought to compare their efficacy and safety.

Materials & Methods: This prospective comparative study that was performed on 60 cases aged > 4 years old, both sexes, with Genu varum and genu valgum with either femoral or tibial origin. Cases were divided into two equal groups: Group A underwent guided growth (GG), and Group B underwent osteotomy. Physical examination, laboratory investigation, radiological investigation, and history-taking were administered to all patients.

Results: Pain, total score, daily living activities, sport/play, and Group B exhibited a significant difference quality of life than Group A (P<0.05). During the 6-month postoperative period, radiological findings showed that Mechanical axis deviation (MAD) and Mechanical lateral distal femoral angle (mLDFA) of genu varum deformities in Group A compared to Group B were significantly improved (P = 0.005 and 0.038, respectively). In contrast, MAD and Mechanical medial proximal tibial angle (mMPTA) of genu valgum deformities (P = 0.020 and 0.043, respectively), as well as mMPTA of genu varum deformities and mLDFA of genu valgum deformities (P=0.038 and 0.037, respectively), in Group B compared to Group were significantly improved.

Conclusion: GG may be preferable in cases where gradual correction and lower morbidity are prioritized, whereas osteotomy may be indicated for more severe deformities requiring immediate correction.

Keywords

Coronal; Deformity; Guided Growth; Knee; Osteotomy; Valgum; Varum.

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DOI: https://doi.org/10.46903/gjms/23.4.Suppl.2058