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The correction of genu valgum by epiphysial stapling
The Journal of Bone and Joint Surgery. British Volume
|February 1, 1977
Summary
Epiphysial stapling effectively corrects idiopathic genu valgum in children aged 11-14.5 years, with femoral stapling being the preferred method for mild to moderate cases.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
Background:
- Idiopathic genu valgum is a common pediatric condition.
- Treatment aims to correct the deformity and prevent long-term complications.
Observation:
- A review of 49 patients treated with epiphysial stapling for idiopathic genu valgum.
- Patients' ages ranged from 11 to 14.5 years.
- Inter-malleolar distance was used to assess deformity severity and correction.
Findings:
- Femoral stapling is the recommended treatment for inter-malleolar separation up to 12.5 cm.
- The optimal age for stapling is 11.5 years.
- For late presentations or deformities >12.5 cm, stapling both epiphyses is advised.
- Correction typically occurs within one year with satisfactory cosmetic outcomes.
- The procedure is safe and predictable, with broad scars being the main complication.
Implications:
- Epiphysial stapling provides a safe and effective surgical option for idiopathic genu valgum.
- Early intervention at 11.5 years optimizes outcomes.
- The technique offers predictable correction and cosmetic satisfaction for pediatric patients.