EC Paediatrics

Research Article Volume 13 Issue 3 - 2024

Outcomes of Temporary Hemiepiphyseal Stapling for Correcting Genu Valgum in Children

Nguyen Ngoc Hung1*, Hoang Hai Duc2 and Le Tuan Anh3

1A. Professor, Surgical Department, Hong Phat General Hospital, Hanoi City, Vietnam
 2Pediatric Orthopaedic Department, National Hospital for Pediatrics, Ha Noi City, Vietnam
 3Pediatric Orthopaedic Department, National Hospital for Pediatrics, Vietnam

*Corresponding Author: Nguyen Ngoc Hung, A. Professor, Surgical Department, Hong Phat General Hospital, Hanoi City, Vietnam.
Received: December 18, 2023; Published: February 29, 2024




Purpose: The purpose of this study was to assess femoral distal hemi-epiphysiodesis using staple in order to correct valgus angular deformities of the knee in pediatric.

Methods: This is a retrospective study longitudinal study in which our experience with 24 patients is described.

Results: There are 16 boys, and 8 girls, we evaluated 48 knees surgically managed for pathologic genu valgum over a 36 months period. The average age at surgery for boys and girls was 14 years and 7 months (range 12.7 - 15.1 years) and 12 years and 9 months (range 11.2 - 13.8 years), respectively. The presurgical tibiofemoral (T-F) angle was measured at between 14° and 34°, and the postoperative T-F was measured at between 6° and 12° (7.2° ± 0.65, mean ± standard deviation), for an average correction of 0.73 ± 0.45 per month). The average surgical timing was 28 min for each knee (range 20.2 - 36.8 min). Average bleeding was 10 ml. The mean follow-up after surgery was 3.6 years (range 2.4 - 5.9 years). There were no complications, such as vascular injuries, infection, chondrolysis or compartment syndrome. The mean follow-up after surgery was 3.6 years (range 2.4 - 5.9 years).

Conclusion: We demonstrate a simple, fast and reproducible surgical technique for staple epiphysiodesis with low morbidity, rapid rehabilitation and a rapid return to school and sports activities. We experienced no complications, such as overcorrection, undercorrection, postoperative hematoma or infection. And we conclude that staple epiphysiodesis is an excellent option for the treatment of genu valgum in children.

 Keywords: Cannulated Screw; Genu Valgus; Angular Deformity; Percutaneous; Epiphysiodesis; Transphyseal Screws

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Nguyen Ngoc Hung., et al. "Outcomes of Temporary Hemiepiphyseal Stapling for Correcting Genu Valgum in Children". EC Paediatrics 13.3 (2024): 01-26.

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