Table 3.
Summary of previous studies with similar procedures
| Number of patients (limbs) | Mean age at surgery, yrs | Mean follow-up, yrs | Procedures | Fixation method | Mean postoperative TFA (°) | Mean postoperative ADMP (°) | Recurrence rate (%) | Other complications (limbs) | |
|---|---|---|---|---|---|---|---|---|---|
| Schoenecker et al11 | 7 (7) | 12.6 | 3.1 | Single-stage (3), two-stage (4) | Kirschner-wires, screws, plates | 4 | 10 | 0 (0) | 3 undercorrection, 1 temporary CPN palsy |
| Jones et al8 | 7 (7) | 10.5 | 2.4 | First stage MP elevation, second-stage lengthening/ valgus/derotation or lateral epiphysiodesis | Ilizarov | -6 | 11 | 0 (0) | 7 PTI, 3 premature consolidation, 2 undercorrection, 1 pin breakage |
| Hefny et al14 | 5 (7) | 11.6 | 6.2 | Single-stage double osteotomy, gradual correction | Ilizarov | -4 | 10 | 0 (0) | 7 PTI |
| Hefny and Shalaby20 | 8 (12) | 9 | 5 | Single-stage double osteotomy, gradual correction | lizarov | -5 | 8 | 0 (0) | 4 PTI |
| Fitoussi et al13 | 6 (8) | 10.5 | 4.0 | Single-stage, acute MP elevation, double osteotomy, lateral epiphysiodesis | Ilizarov | N/A | 5.4 | 1 (12.5) | 1 temporary CPN palsy, 1 premature fibular consolidation, 1 deep infection, 1 necrosis around wire |
| McCarthy et al15 | 16 (22) | 8.8 | 4.14 | Acute MP elevation, tibial gradual osteotomy | Ilizarov | 3 | 12 | 5 (31) | 5 undercorrection, 3 PTI, 1 septic knee |
| Gkiokas and Brilakis10 | 8 (9) | 12 | 10 | Single-stage | Staples, Kirschner-wires, plates, plaster | -2 | 10 | 0 (0) | 2 slight varus undercorrection |
| Abraham et al12 | 23 (29) | 7.3 | Single-stage, dome metaphyseal osteotomy, lateral epiphysiodesis | Lateral plate, Kirschner-wires, plaster | 1 | N/A | N/A | 8 undercorrection, 1 superficial infection, 1 deep infection, 1 wound dehiscence, 1 transient CPN injury, 1 permanent partial CPN injury | |
| Current study | 19 (21) | 10.3 | 5.1 | Single-stage MP elevation, metaphyseal osteotomy | Medial LCP | 7.05 | 2.46 | 0 (0) | 1 superficial infection, 2 hardware prominence, 2 hypertrophic scars |
TFA, tibiofemoral angle, negative values indicate varus, positive values indicate valgus; ADMP, angle of depressed medial plateau; CPN, common peroneal nerve; MP, medial plateau; PTI, pin-tract infection; LCP, locking compression plate