keyword
https://read.qxmd.com/read/38451795/lower-limb-coronal-malalignment-correction-by-percutaneous-osteotomy-and-schanz-screws-fixation
#1
JOURNAL ARTICLE
Khaled Mohamed Emara, Ramy Ahmed Diab, Mohamed N Essa, Mohamed Eissa, Mahmoud Ahmed Elshobaky, Ahmed K Emara, Kyrillos Rashid, Mahmoud Abuelwafa, Mostafa Gemeah
Pediatric knee deformities are common, and the classic treatment is corrective osteotomy. The aim of this study to assess the safety and efficacy of percutaneous low-energy osteotomy and casting with shanz screws fixation in treatment of Genu varum in children equal or younger than 7 years. This is a prospective nonrandomized case series study was conducted. A total of 38 patients (total of 60 limbs: 36 varus and 24 valgus) were treated by percutaneous low-energy osteotomy and casting with shanz screws fixation and observed over 2-5 years...
February 26, 2024: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38351364/factors-influencing-correction-rate-following-hemiepiphysiodesis-using-tension-band-plates-for-deformities-around-the-knee-a-multivariate-analysis-study
#2
JOURNAL ARTICLE
Anil Agarwal, Sitanshu Barik, Ankit Jain, Lokesh Sharma
PURPOSE: The aim of this study was to appraise various factors influencing the correction rate in temporary hemiepiphysiodesis (THE) around the knee joint. Specifically, the study analysed the relationship of correction rate with age, gender, aetiology, type and location of deformity. METHODS: The retrospective study included children who underwent THE for a coronal plane deformity (genu valgus or varum) around the knee joint (distal femur or proximal tibia) over a ten year period (2010-2020)...
February 13, 2024: International Orthopaedics
https://read.qxmd.com/read/38335127/the-diagnostic-odyssey-in-children-and-adolescents-with-x-linked-hypophosphataemia-population-based-case-control-study
#3
JOURNAL ARTICLE
Freya Boardman-Pretty, Ashley Kieran Clift, Hadley Mahon, Nadine Sawoky, M Zulf Mughal
CONTEXT: X-linked hypophosphataemia (XLH) is a rare genetic disorder causing renal phosphate wasting, which predicates musculoskeletal manifestations such as rickets. Diagnosis is often delayed. OBJECTIVE: To explore the recording of clinical features, and the diagnostic odyssey of children and adolescents with XLH in primary care electronic healthcare records (EHR) in the United Kingdom. METHODS: Using the Optimum Patient Care Research Database, individuals aged 20 years or younger after 1st Jan 2000 at date of recorded XLH diagnosis were identified using SNOMED/Read codes, and age-matched to 100 controls...
February 9, 2024: Journal of Clinical Endocrinology and Metabolism
https://read.qxmd.com/read/38308383/novel-subtype-of-coxitis-knee-associated-with-acetabular-dysplasia-of-the-hip-a-case-series
#4
JOURNAL ARTICLE
Patricio Iii Dumlao, Kiminori Yukata, Yutaka Suetomi, Atsunori Tokushige, Takashi Sakai, Hiroshi Fujii
BACKGROUND: Multiple joint arthritis patterns require a comprehensive understanding to optimize patient management. This study aimed to present a patient cohort that deviated from known definitions of coxitis knee (CK), identifying and characterizing this atypical group. METHODS: Patients undergoing both total hip arthroplasty and total knee arthroplasty between January 2008 and December 2018 were retrospectively reviewed. The patients were classified into a typical coxitis knee group (classic, long leg arthropathy, and windswept deformity) and an atypical coxitis knee group...
February 3, 2024: Arthroplasty
https://read.qxmd.com/read/38162152/a-de-novo-mosaic-phex-variant-causing-sporadic-x-linked-hypophosphatemic-rickets-in-a-2-year-old-girl
#5
JOURNAL ARTICLE
Kok-Siong Poon, Karen Mei-Ling Tan, Margaret Zacharin, Cindy Wei-Li Ho
Pathogenic variants in the PHEX gene are causative of X-linked hypophosphatemic rickets (XLH). We present a case of a 2-year-old girl with hypophosphatemic rickets with genu varum and short stature without any family history of XLH. Next generation sequencing of the PHEX gene identified a splice donor variant, NM_000444.6:c.1173 + 5G > A in intron 10. This variant had a mosaic pattern with only 22% of the sequence reads showing the variant allele and was not present in the girl's parents, both of whom had a normal phenotype...
December 2023: Journal of Pediatric Genetics
https://read.qxmd.com/read/37964234/supplementary-orthopaedic-screening-for-children-and-adolescents-to-prevent-permanent-skeletal-deformities-protocol-for-the-orthokids-study
#6
JOURNAL ARTICLE
B Scheckel, M Naumann, D Simic, S Stock, O Loose, M Breig, K Albrecht, K Braun, R Kucher, S Deininger, L Schmid, M John, A Grohnert, C Giertz, T Wirth
BACKGROUND: Skeletal deformities (SD) in children and adolescents can lead to arthritic conditions, impairment of quality of life, and high treatment costs in the long term. However, comprehensive data on the prevalence of SDs in children and adolescents are limited and it remains therefore unclear whether there is a healthcare gap. "OrthoKids" is a project that addresses this evidence gap by implementing an orthopaedic screening for children and adolescents that supplements existing detection examinations within statutory standard care in Germany...
November 15, 2023: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/37892633/recurrence-and-complication-rates-of-surgical-treatment-for-blount-s-disease-in-children-a-systematic-review-and-meta-analysis
#7
REVIEW
Marco Ramella, Alessandro Depaoli, Grazia Chiara Menozzi, Giovanni Gallone, Tosca Cerasoli, Gino Rocca, Giovanni Trisolino
BACKGROUND: Blount's disease is a growth disorder of the proximal tibia that causes progressive genu varum in children. Surgical treatment is recommended if the deformity worsens, but which intervention is best remains controversial. This study aims to identify factors influencing outcomes and determine the most effective surgical approach. METHODS: A systematic review was conducted of studies published before January 2022. RESULTS: In total, 63 retrospective studies with CEBM IIIb/IV levels were included (1672 knees in 1234 patients)...
October 12, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37776952/management-of-medial-femorotibial-osteoarthritis-epidemiology-and-survival-of-unicompartmental-knee-arthroplasty-versus-valgus-high-tibial-osteotomy-in-france-study-of-108-007-cases-from-the-french-national-hospitals-database
#8
JOURNAL ARTICLE
Allison Fitoussi, Julien Dartus, Roger Erivan, Gilles Pasquier, Henri Migaud, Sophie Putman, Emmanuel Chazard
INTRODUCTION: Unicompartmental knee arthroplasty (UKA) and valgus high tibial osteotomy (HTO) are two options for isolated medial femorotibial osteoarthritis in genu varum. In the absence of registries for osteotomies and for arthroplasty in the knee, epidemiological data are hard to obtain in France. We therefore performed a retrospective study, with the aims of 1) estimating UKA and HTO survival without revision by total knee arthroplasty (TKA), and 2) assessing risk factors for revision according to treatment group...
September 28, 2023: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/37746471/quadriceps-angle-measurement-in-adolescents-with-short-stature-exploring-the-relationship-between-postural-alignment-and-lower-limb-mechanics
#9
JOURNAL ARTICLE
Rahul Sharma, Gitanjali Khorwal, Vikas Vaibhav, Brijendra Singh, Raviprakash Meshram
Background The quadriceps angle (Q angle) is measured as an angle formed by two lines that extend from the anterior superior iliac spine to the midpoint of the patella and from the midpoint of the patella to the tibial tuberosity. The average Q angle value for children aged between seven to 12 years was 13.1˚±3.5˚in boys and 13.7˚±4.9˚ in girls, whereas 8˚-15˚ in men and 12˚-19˚ in women. Abnormal variation in Q angle is associated with patellofemoral pain syndrome, lateral patellar malposition, dislocation, chondromalacia patella, patella alta, genu varum, etc...
August 2023: Curēus
https://read.qxmd.com/read/37719611/the-effect-of-q-angle-and-hamstring-length-on-balance-performance-in-gonarthrosis-patients
#10
JOURNAL ARTICLE
Rukiye Ciftci, Ahmet Kurtoğlu
Introduction Gonarthrosis (G) is a progressive disease that affects the knee joint and causes pain and limitation of movement in the knee. The determination of the morphometric status of G patients has been a subject of interest recently. The purpose of this study is to determine how hamstring length (HL) and patellofemoral angle (Q angle [QA]) affect the ability of individuals with G to maintain balance. Methods A total of 80 (40 G patients and 40 in the control group [CG]) participants aged 40-65 were included in the study...
August 2023: Curēus
https://read.qxmd.com/read/37610469/-influence-of-the-bony-alignment-on-the-ligaments-of-the-knee-joint
#11
REVIEW
Julian Mehl, Sebastian Siebenlist
In recent years biomechanical and clinical studies have shown that the three-dimensional bony alignment of the lower extremities has a relevant influence on the ligamentous structures of the knee and consequently on the stability of the knee joint. Therefore, in the case of pathological ligamentous damage of the knee joint, a possible malalignment must always be thoroughly evaluated and if necessary, included in the treatment planning. Varus malalignment plays an important role especially with respect to the cruciate ligaments as well as the posterolateral ligamentous structures and has been identified as a significant risk factor for failure after surgical reconstruction of these ligamentous structures...
August 23, 2023: Unfallchirurgie (Heidelb)
https://read.qxmd.com/read/37610093/epiphyseal-entry-cannulated-screws-for-temporary-guided-growth-of-the-knees-a-retrospective-review-of-89-cases
#12
JOURNAL ARTICLE
Kevin M Neal, Gary M Kiebzak
Guided growth affects the physis in children to produce a desired effect. Several devices achieve alteration of growth, including staples, plates, and screws. Complications can include device failures, failure to modulate growth as expected, and unintended physeal arrest. We present the results of a unique technique designed to minimize these complications. This was a retrospective review of guided growth at the knee at a single institution utilizing cannulated screws with epiphyseal-entry points. Each case was reviewed to determine the presence of complications related to guided growth, including implant breakage, implant pull-out or pull-through, iatrogenic physeal arrest, failure to modulate growth, and the incidence of revision surgeries...
August 15, 2023: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/37479535/the-association-between-keratoconus-and-systemic-manifestations-of-connective-tissue-hyperlaxity
#13
JOURNAL ARTICLE
Margarita Safir, Alexandra Satanovsky, Idan Hecht, Dan Heller, Adi Einan-Lifshitz, Eran Pras
PURPOSE: To evaluate the correlation between keratoconus and systemic manifestations of tissue hyperlaxity in the general population. METHODS: In this population based cross-sectional study 940,763 medical records of Israeli adolescents and young adults in military service were reviewed. Demographic and medical data were extracted. The prevalence of ligament injuries, habitual orthopedic deformities and umbilical/inguinal hernia was evaluated in cases with and without keratoconus...
July 19, 2023: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://read.qxmd.com/read/37460181/-correction-of-tibial-multiplanar-deformities-using-single-taylor-external-fixator-combined-with-biplanar-osteotomy
#14
JOURNAL ARTICLE
Shaofeng Jiao, Sihe Qin, Zhenjun Wang, Yue Guo, Hongsheng Xu, Zhijie Liu, Jianwen Chen
OBJECTIVE: To investigate the effectiveness of single Taylor external fixator combined with biplanar osteotomy on correction of tibial multiplanar deformities. METHODS: Between October 2016 and December 2021, 11 patients with tibial multiplanar deformities (20 sides) were treated with single Taylor external fixator and biplanar osteotomy. Of them, 4 were male and 7 were female; the average age ranged from 13 to 33 years (mean, 21.9 years). Diagnosis included rickets severe genu varum deformity (7 cases, 14 sides), rickets severe genu valgum deformity (2 cases, 4 sides), multiple osteochondromatosis calf deformity (1 case, 1 side), neurofibromatosis medial lower leg anterior arch deformity with short of leg (1 case, 1 side)...
July 15, 2023: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/37443492/effect-of-tibial-rotation-after-uniplane-medial-open-wedge-high-tibial-osteotomy-in-genu-varum-patients-an-observational-study
#15
JOURNAL ARTICLE
Ke Li, Hao Zhang, Fenglong Sun, Hengbing Guo, Zhanjun Shi, Hongqing Wang, Ran Yao, Xin Dong
The change in axial tibial rotation after uniplane medial open-wedge high tibial osteotomy (uniplane OWHTO) and its relevant influence factor is not known. Therefore, the aim of this study was to evaluate the change in axial tibial rotation after uniplane OWHTO, and the factors affecting tibia rotational change were analyzed. Between January 2022 and April 2022, the study was retrospectively conducted on genu varum patients who underwent uniplane OWHTO. In the weight-bearing anteroposterior long leg view, the hip-knee-ankle angle and medial proximal tibial angle (MPTA) were evaluated...
July 14, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37434940/pie-crusting-technique-of-medial-collateral-ligament-for-total-knee-arthroplasty-in-varus-deformity-a-systematic-review
#16
REVIEW
Mehdi Motififard, Hadi Ravanbod, Rashed Rahmati, Mohammad Saleki
BACKGROUND: We aimed to better understand the outcomes/complications of pie-crusting technique using blade knife during total knee arthroplasty (TKA) in patients with knee genu varum deformity. MATERIALS AND METHODS: A systematic search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. English and Persian language articles were considered on the use of pie-crusting technique during TKA in patients with knee genu varum/varus deformity using related keywords and Medical Subject Headings terms with reported postoperative complications and outcomes...
2023: Advanced Biomedical Research
https://read.qxmd.com/read/37415038/distal-renal-tubular-acidosis-as-presenting-manifestation-of-wilson-disease-in-a-11-year-old-girl
#17
JOURNAL ARTICLE
Paraselli Saiteja, Sriram Krishnamurthy, Bobbity Deepthi, Sudarsan Krishnasamy, Madhileti Sravani
A 11-year-old girl was referred to the pediatric nephrology services of our hospital for evaluation of vitamin-D-refractory rickets. She was born to second-degree consanguineous parents. On examination, she had wrist widening and bilateral genu varum. She had normal anion gap metabolic acidosis, hypokalemia, and hyperchloremia. The fractional excretion of bicarbonate was 3% and the urine anion gap was positive. She also had hypercalciuria, but no phosphaturia, glucosuria or aminoaciduria. In view of a family history of an elder sister having rigidity with cognitive and speech impairment, an ophthalmic evaluation by slit lamp examination was performed in the index case that revealed bilateral Kayser-Fleischer rings...
July 6, 2023: CEN Case Reports
https://read.qxmd.com/read/37397115/effect-of-multi-component-exercises-program-on-pain-related-gait-adaptations-among-individuals-with-osteoarthritis-of-the-knee-joint
#18
JOURNAL ARTICLE
Prachiti Bhore, Sandeep Shinde
BACKGROUND: Osteoarthritis of the knee causes pain and gait disturbances, as well as a distinct gait pattern. Patients with knee OA have decreased range of motion (ROM) and increased ground reaction force. OA reduces stride length and walking speed. OBJECTIVES: To determine the effect of a multi-component exercise program on pain-related gait adaptations among individuals with osteoarthritis of the knee joint and to compare the effect of multi-component exercises with traditional exercises on pain-related gait adaptations among individuals with osteoarthritis of the knee joint...
2023: Journal of Education and Health Promotion
https://read.qxmd.com/read/37386198/satisfactory-long-term-outcomes-for-combined-anterior-cruciate-ligament-reconstruction-and-lateral-closing-wedge-high-tibial-osteotomy
#19
JOURNAL ARTICLE
Piero Agostinone, Gian Andrea Lucidi, Giacomo Dal Fabbro, Stefano Di Paolo, Anna Pagano, Marianna Viotto, Maria Pia Neri, Alberto Grassi, Stefano Zaffagnini
PURPOSE: A combined anterior cruciate ligament (ACL) reconstruction and high tibial osteotomy (HTO) is considered a valuable treatment in young patients affected by symptomatic medial osteoarthritis and ACL deficiency. However, only a few studies have investigated the outcomes of this procedure, especially in the long term. Therefore, the aim of this study is to report clinical and radiographic outcomes of ACL reconstruction and lateral closing wedge HTO at a mean of 14 years of follow-up...
June 29, 2023: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/37313534/the-efficacy-of-hemiepiphysiodesis-for-idiopathic-knee-coronal-angular-deformity-by-reconstruction-plate-and-screw-a-pilot-study
#20
JOURNAL ARTICLE
Arash Maleki, Mohamad Qoreishi, Amir Bisadi, Farshad Safdari, Amin Daei Sorkhabi, Ali Fotouhi, Mohammad A Tahririan
BACKGROUND: Angular deformities of the lower extremities are among the most common findings in pediatric orthopedics. Alteration of the mechanical axis in the lower extremity affects the cosmetic appearance and may lead to gait disturbances, knee discomfort, patellar maltracking with or without pain, and early joint osteoarthritis. In the current study, we aimed to investigate the efficacy of 3-hole 3.5 mm reconstruction plates in tension-band temporary hemiepiphysiodesis for correcting idiopathic knee coronal angular deformities...
June 2023: Health Science Reports
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