Table 1.
XLH2* | XLH 3 | XLH 4 | XLH 6 | Kim et al. | Sung et al. | |
---|---|---|---|---|---|---|
Pharmacological treatment | Burosumab | Burosumab | Burosumab | Conventional | ||
Age at Index Surgery | 10y11mo | 7y5mo | 8y3mo | 5y3mo | ∅11,8 years | <14 boys, <12 girls |
Deformity | Valgus unilateral | Valgus Bilateral | Valgus Bilateral | Varus bilateral | Varus and Valgus | Valgus |
No of physis treated | 1 | 4 | 4 | 4 | 154 | 175 |
Mean LDFA correction/month | 0.8 | 1.0 | 0.6 | 0.71 | ||
Mean MPTA correction/month | 0.6* | 0.8 | 1.0 | 0.6 | 0.40 | |
Correction rate per year | 7.2* | 9.6 | 12.0 | 7.0 | 6.5 | 4,8-8,5 |
Mean MAD correction per month | 2.6* | 2.9 | 6.2 | 2.2 | ||
Total Time of Guided Growth | * | 15.0 | 5.0 | 20.0 | ||
* Guided growth procedure ongoing |
Case 6 received conventional therapy at the time of guided growth. Mean correction of degrees per month as well as mean MAD correction in mm per month are listed above. Correction rate per year shows the number of degrees within a year. Reference values for correction rates in children without XLH are shown on the right-hand side (19, 20). Children with XLH with Burosumab treatment show fast correction rate compared to a significantly younger conventional treated child and compared to norm groups in literature.
Cases 2, 3 and 4 underwent temporary hemiepiphysiodesis during Burosumab therapy.
ø = average.