HEMI-EPIPHYSIODESIS AT THE KNEE REGION: LONG – TERM RESULTS OF AMBULANT CENTRE FOR DEFECTS OF LOCOMOTOR APPARATUS, PRAGUE, CZ
PETRÁŠOVÁ, Š., MYSLIVEC, R., ZEMKOVÁ, D., MAŘÍK, I. HEMI-EPIPHYSIODESIS AT THE KNEE REGION: LONG – TERM RESULTS OF AMBULANT CENTRE FOR DEFECTS OF LOCOMOTOR APPARATUS, PRAGUE, CZ. Lublin, 2014.
|Anglický název:||HEMI-EPIPHYSIODESIS AT THE KNEE REGION: LONG – TERM RESULTS OF AMBULANT CENTRE FOR DEFECTS OF LOCOMOTOR APPARATUS, PRAGUE, CZ|
|Autoři:||Šárka Petrášová , Radek Myslivec , Daniela Zemková , Doc. MUDr. Ivo Mařík CSc.|
|Abstrakt EN:||The Ambulant Centre for Defects of Locomotor Apparatus in Prague has achieved very good results with permanent epiphysiodesis that was carried out both in cases of unequal leg length and at deformities around the knee joint. The goal of the communication is to present our last ten years experience with anthropometric mesurement of tibio-femoral angle, indication and timing of the surgery and long-term results of permanent hemi-epiphysiodesis (carried out by modified Macnicol´s method using drilling of growth physis) that was indicated to children with deformities around the knee joint region. Hemi-epiphysiodesis (HE) was indicated to growing children suffering from the knee joint deformities caused by idiopathic, metabolic, neuromuscular, genetic skeletal disorders. Partial permanent medial or lateral HE of distal femoral physis and/or proximal tibia one was done in a cohort of 28 patients aged 10.4 – 15.95 years. Totally were made 47 medial and 10 lateral hemi-epiphysiodesis. Average age of surgery was 13.27 ± 1.31 years. Valgosity was indicated to HE in children with both the idiopathic cases (obesity, hypermobility) and in multiple exostoses, bone dysplasias (BD), etc. In patients with valgosity the average T-F angle was 13.62° ± 4.08° measured before surgery, the angle was normalized to 4.4° ± 1.39°. The evaluation showed that intermalleolar distance was decreased from 8.1 cm ± 2.63 cm to 0.91 cm ± 1.29 cm. Varosity was indicated to HE in children with bone dysplasias (achondroplasia, pseudoachondroplasia, hypophosphatemic rickets etc.). Average T-F angle in 57 these cases was -13.63° ± 2.29° measured before surgery, the angle was changed to -9.75° ± 2.36°. Intercondylar distance was decreased from 3.38 cm ± 1.25 cm to 2.2 cm ± 1.68 cm.|