Treatment of pediatric genu varum by temporary hemiepiphysiodesis using 8-shaped plate

Abstract

Background: Genu varum, a common juvenile orthopaedic disease, may cause gait problems and functional difficulties. Hemiepiphysiodesis using an 8-shaped plate is a new technique, although its clinical and radiological results need study. This research examined the clinical and radiological outcomes of hemiepiphysiodesis with 8-shaped plate for juvenile genu varum. Methods: Thirty children aged 3–15 with genu varum were investigated antegrade and retrogradely. The patients had clinical, radiological, and laboratory tests before surgery. Under general anaesthesia, patients were examined for operation time, intraoperative and postoperative problems, radiological follow-up, and hospital stay. Final follow-up was six months following surgery. Results: The research group had a mean age of 6.6 years and 43 percent females and 57 percent men. Correction was done bilaterally (7%), left (10%), and right (13%), targeting femur and tibia (50%) or femur just (10%) or tibia only (40 percent ). Mean hospitalisation was 0.8 days, and average correction was 10.6 months. Surface infections (7%), LIMITED ROM (10%), and damaged screws (3%) were the only difficulties, with 80% with no issues. Rebound correlates with complications. Intercondylar distance, mechanical axis deviation, proximal tibial angle, and distal femoral angle improved significantly. Logistic regression did not find rebound or complications risk variables. Conclusions: 8-plate insertion is a successful therapy for genu varum in children, although rebound and complications must be monitored.ssary.