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Guided growth for angular correction in children: a comparison of two tension band plate designs

Kadhim, Muayad; Gauthier, Luke; Logan, Karl; El-Hawary, Ron; Orlik, Benjamin

Journal of Pediatric Orthopaedics B: January 2018 - Volume 27 - Issue 1 - p 1–7
doi: 10.1097/BPB.0000000000000492

This retrospective cohort study examined 20 patients (48 physes), 11 boys and nine girls, who were treated with hinge-plate or eight-plate. The mean age of the patients at surgery was 11.9±2.6 years. The mean follow-up duration was 13±2.7 months. The radiographic measurement of both distal femoral and proximal tibial deformity showed significant correction, with no difference between the hinge-plate and the eight-plate. Both screw divergence angle and the hinge angle showed significant changes at the last follow-up. The deformity correction of the distal femoral physis was quicker than the proximal tibial physis. The rate of mechanical femoral–tibial angle correction was 0.97°/month if both femoral and tibial physes were treated. Level of evidence: III.

Department of Orthopaedic Surgery, IWK Health Centre, Halifax, Nova Scotia, Canada

Correspondence to Benjamin Orlik, BSc, MD, FRCS(C), MSc (Cand), Department of Orthopaedic Surgery, Dalhousie IWK Health Centre, 5858/5980 University Avenue, PO Box 9700, Halifax, NS B3K 6R8, Canada Tel: +1 902 470 7245; fax: +1 902 470 7341; e-mail:

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