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International Orthopaedics

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Open Access 01-04-2024 | External Fixator | Original Paper

Is it possible to achieve multiplanar correction of complex deformities around the knee in children and adolescents using a monolateral external fixator?

Authors: Hassan Elbarbary, Ahmed Abdelmohsen, Abo-Bakr Zein, Amr Arafa, Mohamed Hegazy, Ahmed Yaseen, Ahmed Afifi

Published in: International Orthopaedics | Issue 6/2024

Abstract

Purpose

To present the technique of correction of multiplanar deformities around the knee in children and adolescents using the monolateral external fixator. Also, to evaluate the results of the technique regarding radiological correction, time to union, and possible complications.

Methods

A total of 29 patients (47 limbs) were prospectively included in the study (14 males and 15 females). Their median age was 13 years (range, 7–17). All patients had at least a 2-plane deformity around the knee which was corrected using a monolateral external fixator. The primary outcome measure was deformity correction (correction of mechanical axis deviation (MAD) in both the coronal and sagittal planes with correction of rotational deformities). The secondary outcome measures included bony union, radiographic, and functional results (assessed by using the Association for the Study and Application of the Method of Ilizarov (ASAMI) score).

Results

The median pre-operative MAD improved from 6.3 to 0.4 cm post-operatively. According to the ASAMI scoring system, the radiographic scoring was excellent in all cases (100%), and the functional scoring was excellent in 22 cases (89.7%) and good in three cases (10.3%).

Conclusion

The simple monolateral fixator can be an effective tool for multiplanar correction of complex deformities around the knee without limb length discrepancy.

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Title: Is it possible to achieve multiplanar correction of complex deformities around the knee in children and adolescents using a monolateral external fixator?
Authors: Hassan Elbarbary
Ahmed Abdelmohsen
Abo-Bakr Zein
Amr Arafa
Mohamed Hegazy
Ahmed Yaseen
Ahmed Afifi
Publication date: 01-04-2024
Publisher: Springer Berlin Heidelberg
Keywords: External Fixator
Genu Varum
Genu Valgum
Published in: International Orthopaedics / Issue 6/2024
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-024-06149-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Is it possible to achieve multiplanar correction of complex deformities around the knee in children and adolescents using a monolateral external fixator?

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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