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Risk factors for failure of temporary hemiepiphysiodesis in Blount disease

a systematic review

Fan, Bensena; Zhao, Caixiaa; Sabharwal, Sanjeevb

Journal of Pediatric Orthopaedics B: January 2020 - Volume 29 - Issue 1 - p 65–72
doi: 10.1097/BPB.0000000000000603
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There is limited information regarding the use of temporary hemiepiphysiodesis for Blount disease. We performed a systematic review of patients treated for Blount disease using either extraperiosteal staples or plates to identify characteristics affecting clinical outcome, including the need for unplanned procedures. A total of 53 patients (63 bone segments) underwent temporary hemiepiphysiodesis at a mean age of 8.8 years (1.8–14.7 years). Overall, 32/63 (51%) segments achieved neutral mechanical axis and 31/63 (49%) underwent unplanned subsequent procedures, with or without a subsequent osteotomy. On the basis of the available heterogeneous data, neither age at index surgery nor the type of implant correlated with the need for unplanned additional surgeries.

aDepartment of Orthopedics, Rutgers New Jersey Medical School, Newark, New Jersey

bDepartment of Orthopedics, University of California San Francisco, Benioff Children’s Hospital of Oakland, Oakland, California, USA

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Correspondence to Sanjeev Sabharwal, MD, MPH, Department of Orthopedics, University of California San Francisco, Benioff Children’s Hospital of Oakland, 747 52nd Street, OPC 1st Floor, Oakland, CA 94609, USA E-mail: sanjeev.sabharwal@ucsf.edu

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