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In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
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Growth modulation for coronal deformity correction by using Eight Plates-Systematic review.

Sanjay Kumar1, S V Sonanis2

  • 1Department of Orthopaedics, United Lincolnshire Hospitals NHS Trust, Greetwell Rd, Lincoln LN2 5QY, United Kingdom.

Journal of Orthopaedics
|April 17, 2018
PubMed
Summary
This summary is machine-generated.

Growth modulation using 8-plates effectively corrects paediatric coronal deformities with a 91.2% success rate and low complication rate. This minimally invasive technique offers a viable alternative to major surgery for growing bones.

Keywords:
8- plateDeformity correctionGenu valgumGenu varumGrowth modulationGuided growthHemiepiphysiodesisTension band plate

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Area of Science:

  • Paediatric Orthopaedics
  • Skeletal Growth Modulation
  • Limb Deformity Correction

Background:

  • Coronal deformities are common in children and may require surgical intervention.
  • Growth modulation (hemiepiphysiodesis) using 8-plates offers a less invasive surgical option for growing bones.
  • This technique can avoid major osteotomies and fixation in severe cases.

Purpose of the Study:

  • To systematically review the published literature on the efficacy and safety of 8-plate growth modulation for paediatric coronal deformity correction.
  • To analyze patient demographics, deformity correction rates, clinical outcomes, and complications associated with 8-plate use.

Main Methods:

  • Systematic review of literature from PubMed, Google Scholar, EMBASE, and Cochrane databases.
  • Analysis of seven identified studies involving 215 patients (350 limbs).
  • Evaluation of patient age, deformity aetiology, correction rates, complication profiles, and follow-up data.

Main Results:

  • Successful deformity correction in 91.2% of patients (196/215).
  • Mean correction rate of 1.28°/month, with significant changes in distal femoral and proximal tibial angles.
  • Low complication rate (5.6%), including hardware failure, overcorrection, infection, and stiffness; rebound occurred in 3.7%.

Conclusions:

  • 8-plate growth modulation demonstrates high efficacy and a low complication profile for correcting paediatric coronal deformities.
  • The technique is applicable across various paediatric age groups and aetiologies.
  • Current literature is largely retrospective and heterogeneous, limiting age- and aetiology-specific recommendations.