Systematic review on guided growth for management of knee flexion deformity
Tamer Esmael Morsi;
Abstract
CONCLUSION
T
here is a great controversy regarding the use of guided growth for all cases of knee flexion deformity.
From few reviews which were published that regardless of etiology, the insidious progression of FKFD may have a profound impact on the functional status of growing patients.
Gradual correction via guided growth offers safe and uninterrupted recovery; as the crouch decreases, the secondary deformities of the lumbar spine, hip, and ankle may be ameliorated.
Problems observed with stapling, including hardware failure or slow correction, have been successfully circumvented by switching to the flexible construct of the 8- plates, which rely on the tension band principle.
Based on the low complication rate, patient acceptance, and the rapidity of improvement, make this technique as the treatment of choice for this challenging problem.
This study give rise to need of future efforts concentrating on developing well-designed controlled studies, in order to provide more statistically valuable results about rate of recurrence after implant removal and if correction of the knee flexion deformity correlated with improvement in the ambulatory status and gross motor functions.
T
here is a great controversy regarding the use of guided growth for all cases of knee flexion deformity.
From few reviews which were published that regardless of etiology, the insidious progression of FKFD may have a profound impact on the functional status of growing patients.
Gradual correction via guided growth offers safe and uninterrupted recovery; as the crouch decreases, the secondary deformities of the lumbar spine, hip, and ankle may be ameliorated.
Problems observed with stapling, including hardware failure or slow correction, have been successfully circumvented by switching to the flexible construct of the 8- plates, which rely on the tension band principle.
Based on the low complication rate, patient acceptance, and the rapidity of improvement, make this technique as the treatment of choice for this challenging problem.
This study give rise to need of future efforts concentrating on developing well-designed controlled studies, in order to provide more statistically valuable results about rate of recurrence after implant removal and if correction of the knee flexion deformity correlated with improvement in the ambulatory status and gross motor functions.
Other data
| Title | Systematic review on guided growth for management of knee flexion deformity | Other Titles | دراسة منهجية على النمو الموجة لعلاج تشوه انثناء الركبة | Authors | Tamer Esmael Morsi | Issue Date | 2015 |
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