Characterization of the temporary epiphyseal arrest of blount in the treatment of genu valgum in Cienfuegos.

Authors

Keywords:

Incidence, Genu Valgum, Children, Orthopedics, Knee.

Abstract

Introduction: Genu valgum is the most frequent angular deformity in childhood, with spontaneous resolution in most cases, even so, in 10% of cases surgical treatment is required to correct the mechanical axis that modulates growth.

Objective: to clinically and epidemiologically characterize patients under 14 years of age diagnosed with Genu valgum who underwent surgery.

Methods: a descriptive, retrospective longitudinal observational study was carried out in patients under 14 years of age with diagnosis of Genu valgum, surgically intervened by Blount temporary epiphyseal arrest, between January and July 2019, at the University Pediatric Hospital of Cienfuegos. The universe was constituted by 15 patients. The variables age, sex, reason for consultation, risk factors and postoperative evolution were studied.

Results: patients between 12 and 14 years old (46.7 %) and male (53.3 %) predominated. Esthetic deformities were the main reason for consultation (46.7 %) and the risk factor most frequently observed was obesity (40 %).

Conclusions: patients with a diagnosis of Genu valgum between the ages of 12 and 14 years represented the highest percentage of those operated on. Esthetic deformities were the main reason for consultation and obesity was the most frequent risk factor.

Downloads

Download data is not yet available.

References

1. Sharon Tan SH, Hao Tan LY, Seng Lim AK, Hoipo Hui J. Hemiepiphysiodesis is a potentially effective surgical management for skeletally immature patients with patellofemoral instability associated with isolated genu valgum. Knee Surg Sports Traumatol Arthrosc [Internet]. 2019 [citado 28 Feb 2022];27(3): 845-9. Disponible en: https://link.springer.com/article/10.1007/s00167-018-5127-8

2. Cadena Pérez AL, Velázquez Aréstegui D, Harfush Nasser LA. Corrección del genu valgum en el síndrome de Ellis-van Creveld: reporte de dos casos. Rev Mex Ortop Pediat [Internet]. 2021 [citado 28 Feb 2022];23(1-3):45-9. Disponible en: https://www.medigraphic.com/pdfs/opediatria/op-2021/op211i.pdf

3. Kuan Wen W, Wei Chun L, Ya Ting H, Ting Ming W, Ken Kuo N, Tung Wu L. Balance control and lower limb joint work in children with bilateral genu valgum during level walking. Gait & Posture [Internet] 2021 [citado 28 Feb 2022];90(4):313-9. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0966636221004963

4. Majewski Rodrigues NV, Guarniero R, Fortes Villas Boas PJ, Rodrigues de Miranda B, Botter Montenegro N. Hemiepiphysiodesis using eight-plate versus Blount staple to correct genu valgum and genu varum. Acta Ortop Bras [Internet]. 2020 [citado 28 Feb 2022];28 (5):195-8. Disponible en: https://www.scielo.br/j/aob/a/3zrtZ7w5C4yBcvPByVjJyQp/?lang=en&format=pdf

5. Cunha Ciaccia MC, Nazareth Pinto C, Costa Golfieri F da, Ferreira Machado T, Lopes Lozano L, Sanseverino Silva JM, et. al. Prevalence of genu valgum in public elementary schools in the city of Santos (SP), Brazil. Rev Paul Pediatr [Internet]. 2017 [citado 28 Feb 2022];35(4):443-7. Disponible en: https://www.scielo.br/j/rpp/a/c8gdnygWy68dCGMGbbvn6mt/?format=pdf&lang=en

6. Tschinkel K, Gowland R. Knock‐knees: Identifying genu valgum and understanding its relationship to vitamin D deficiency in 18th to 19th century northern England. Int J Osteoarchaeol [Internet] 2020 [citado 28 Feb 2022];30(6):891-902. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1002/oa.2919

7. Dwidmuthe S, Sharma M. A case report of primary synovial chondromatosis with bilateral genu valgum. J Orthop Case Rep [Internet]. 2017 [citado 28 Feb 2022];7(5):92-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728010/pdf/JOCR-7-92.pdf

8. Tsung Yu L, Chen Yu Y, Shih Chia L. Corrective osteotomy with retrograde Fassier-Duval nail in an osteogenesis imperfecta patient with bilateral genu valgum: A case report. Medicine (Baltimore) [Internet]. 2017 [citado 28 Feb 2022];96(47):123-223. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5708919/pdf/medi-96-e8459.pdf

9. Si Wook L, Kyung Jae L, Chul Hyun C, Hee Uk Y, Chang Jin Y, Hyeong Uk C, et. Al. Affecting Factors and Correction Ratio in Genu Valgum or Varum Treated with Percutaneous Epiphysiodesis Using Transphyseal Screws. J Clin Med [Internet]. 2020 [citado 28 Feb 2022];9(12):40-93. Disponible en: https://www.mdpi.com/2077-0383/9/12/4093

10. Seo Ho M, Soon Sun K, Moon Seok P, Nak Tscheol K, Ki Hyuk S. Change of limb alignment in Korean children and adolescents with idiopathic genu valgum. Medicine (Baltimore) [Internet]. 2021 [citado 28 Feb 2022];100(45):[aprox. 12 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589248/pdf/medi-100-e27637.pdf

11. Mei Yun T, Zhong Wei F, Tian Hao W, Shao Feng L, Sen Wang H, Zhong Jie Z, et. al. The Wihteside soft tissue releasing technique combined with the Ranawat soft tissue releasing technique in the total knee arthroplasty of genu valgus. Chinese J. Tissue Eng. Res [Internet]. 2018 [citado 28 Feb 2022];22(31):4926-30. Disponible en: https://www.cjter.com/EN/10.3969/j.issn.2095-4344.0363

12. Agarwal A, Shaharyar A. Supracondylar “V” osteotomy for postrachitic genu valgum in children: A case series. J Orthop Traumatol Rehabil [Internet]. 2017 [citado 28 Feb 2022];9(1):12-16. Disponible en: https://www.jotr.in/tocd.asp?2017/9/1/12/207166/3

13. Sánchez Mesa PA, Helo Yamhure F. Hemiepifisiodesis percutánea con tornillos canulados transfisarios para genu valgo en adolescentes. J Child Orthop [Internet]. 2009 [citado 28 Feb 2022];3(5):397-403. Disponible en: https://journals.sagepub.com/doi/pdf/10.1007/s11832-009-0203-8

14. Soroush B, Mortazavi Javad SM, Kamel D, Alireza M, Taghi B Middle to long-term results of distal femoral tension band hemiepiphysiodesis in the treatment of idiopathic genu valgum. J Pediatr Orthop B [Internet]. 2021 [citado 28 Feb 2022];30(1):43-7. Disponible en: https://journals.lww.com/jpo-b/Fulltext/2021/01000/Middle_to_long_term_results_of_distal_femoral.8.aspx

15. Bonet Serra B, Quintanar Rioja A, Alavés Buforn M, Martínez Orgado J, Espino Hernández M, Pérez-Lescure Picarzo FL. Presencia de genu valgum en obesos: causa o efecto. An Pediatr [Internet]. 2003 [citado 28 Feb 2022];58(3):232-5. Disponible en: https://www.sciencedirect.com/science/article/pii/S1695403303780436

Published

2022-03-17

How to Cite

1.
Martínez Suárez CL, Rivero Chau C. Characterization of the temporary epiphyseal arrest of blount in the treatment of genu valgum in Cienfuegos. Revdosdic [Internet]. 2022 Mar. 17 [cited 2025 Mar. 14];5(1):e161. Available from: https://revdosdic.sld.cu/index.php/revdosdic/article/view/161

Issue

Section

Original Articles