Residual Torsional Deformity in Pediatric Genu Varum After Coronal Plane Deformity Correction by 8 Plate Hemi Epiphysiodesis.
NCT ID: NCT05334862
Last Updated: 2024-12-30
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
15 participants
INTERVENTIONAL
2025-01-31
2025-05-31
Brief Summary
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Detailed Description
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The genu valgum or varum may be idiopathic or arise from diverse etiologies, such as trauma, dysplasia, metabolic disease, inflammatory, endocrine, tumor, neoplastic, or developmental pathologies.
Surgical treatment options include osteotomies with either acute or gradual correction and temporary hemi epiphysiodesis (guided growth),the latter being less invasive and with significantly lower rate of major complications.
Guided growth by 8 plate hemi epiphysiodesis is commonly used to correct coronal plane deformity around the knee. Since its introduction by Stevens in 2007 many studies have demonstrated the efficacy, safety and advantages of tension band plating in the paediatric age group as an alternative to corrective osteotomy.
Genu varum deformities of the leg are often associated with internal tibial torsion. The 3 major causes of pediatric in-toeing are metatarsus adductus, internal tibial torsion, and femoral anteversion.
..yet, there is no enough available literature studies evaluating the amount of correction of torsional deformity after coronal plane deformity correction by 8 plate hemi epiphysiodesis.
This is the question of this study and we are trying to answer it by measuring the residual torsional deformity after achieving full correction of coronal plane deformity by 8 plate hemi epiphysiodesis.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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skeletally immature patients between 2.5 : 12 years with genu varum
skeletally immature patients over 2.5 years of age and less than 12 years of age who presented with genu varum. (unilateral or bilateral) ..those will be treated by 8 plate hemi epiphysiodesis.
8 plate hemiepiphysiodesis
surgical procedure by lateral incision in proximal tibia and distal femur and fixation by using 8 plate and screws.
Interventions
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8 plate hemiepiphysiodesis
surgical procedure by lateral incision in proximal tibia and distal femur and fixation by using 8 plate and screws.
Eligibility Criteria
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Exclusion Criteria
2. epiphyseal dysplasia.
3. metabolic and neurologic disorders.
4. previous trauma.
5. patients younger than 2.5 years and older than 12 years old
30 Months
12 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Andrew Nasseh Hafeez Boles
Resident doctor, Orthopaedic surgery department, Principal investigator
Principal Investigators
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Hesham Elbaseet, Doctor
Role: STUDY_DIRECTOR
Assiut University
Locations
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Assiut University Hospital
Asyut, Asyut Governorate, Egypt
Countries
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Central Contacts
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Facility Contacts
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Mohammed Elsharkawy, head of orthopaedic department
Role: primary
Hesham Elbaseet, professor
Role: backup
References
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Schleien CL, Eberle B, Shaffner DH, Koehler RC, Traystman RJ. Reduced blood-brain barrier permeability after cardiac arrest by conjugated superoxide dismutase and catalase in piglets. Stroke. 1994 Sep;25(9):1830-4; discussion 1834-5. doi: 10.1161/01.str.25.9.1830.
Parzuchowski A, Winiarska K. [Cataract surgery in patients with pronounced disorders of general condition]. Klin Oczna. 1972;42(4):1032-7. No abstract available. Polish.
Other Identifiers
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8 plate in genu varum
Identifier Type: -
Identifier Source: org_study_id