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Limb Axis Disorder During Leg Length Discrepancy Treatment with Temporary Epiphysiodesis Using Eight-Plate Implants.

Grzegorz Starobrat¹, Anna Danielewicz¹, Tomasz Szponder²

¹Department of Paediatric Orthopaedics, Medical University of Lublin, 20-059 Lublin, Poland.

Journal of Clinical Medicine

|January 11, 2025

Summary

Temporary epiphysiodesis using eight-plate implants for leg length discrepancy (LLD) significantly alters limb mechanical axis. This surgical technique impacts bone alignment, affecting overall limb mechanics post-treatment.

Keywords:

eight plate growth plate leg length discrepancy temporary epiphysiodesis

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Area of Science:

Pediatric Orthopedics
Surgical Innovation
Biomechanical Analysis

Background:

Leg length discrepancy (LLD) is a common pediatric orthopedic issue with potential adult degenerative complications.
Eight-plate implant epiphysiodesis offers a minimally invasive surgical option for LLD.
Limited data exists on secondary deformities following LLD surgical correction.

Purpose of the Study:

To evaluate the impact of temporary growth plate blocking on the final limb axis after LLD treatment.
To assess secondary axis deformations resulting from epiphysiodesis.

Main Methods:

Retrospective analysis of 2010-2019 radiographs from patients treated with eight-plate implants for LLD.
Radiographic assessment included mechanical axis deviation (MAD), mMPTA, and M/at.
Patient data included sex and treatment duration (18, 30, or 42 months).

Main Results:

Twenty-four girls and thirty-six boys were analyzed.
The mechanical axis deviation (MAD) parameter showed statistically significant changes across all treatment groups and sexes.
Treatment duration did not negate the observed significant changes in MAD.

Conclusions:

Epiphysiodesis using eight-plate implants for LLD influences the anatomical and mechanical axes of the limb.
Significant alterations in the mechanical axis deviation (MAD) are a key outcome of this treatment.
Further research into long-term axis stability and potential secondary deformities is warranted.