الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Pediatric bow knee (genu-varum) is a very common orthopedic presentation,different types of surgical procedures have been described for correction of pathological type of this presentation. In this study we have compared between two of these methods (percutaneous osteotomy versus guided growth by hemi-epiphysiodesis). Methods:This is a randomized controlledcomparative study aiming to evaluate and compare the efficacy (clinical and radiological) and safety of both techniques in correction of angular knee deformities in skeletally immature patients. 15 patients for each method with total 52 deformed limbs, osteotomy group named (group I) and guided growth group named (group II). Results:Both groups showed significant radiological improvement in mLDFA, MPTA and mechanical axis deviation post-operative with no significant difference in rate of correction. And both groups also showed significant clinical improvement according to Böstman score (33)with no significant post-operative difference between the two groups. Conclusions:The two surgical procedures are reliable methods of correction of genu-varum deformity in children before maturity with some precautions to reduce rate of complications reported with each method |