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In children with excessive knock knees it may be necessary to use guided growth (small surgical procedure) so the child outgrows the condition before maturity. A new implant is on the market and the investigators compare this implant (8plate) with the old technique (staples) in a randomised setup.
The hypothesis is that the 8plate provides a faster correction rate and that this treatment is superior to stapling.
Correcting angulating deformities of the lower limb is a subject of major interest in paediatric orthopaedics. Epiphysiodesis is the technique by which unilateral bone growth is stopped. Traditionally this has been performed with staple technique. The 8-plate technique is new and advocated because it is believed to reduce the risk of premature closure of the growth plate compared to stapling. The benefit of the 8-plate technique has not yet been proven in experimental or randomised clinical studies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Staples | Active Comparator | Old implant type |
|
| 8plate | Active Comparator | New implant type |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 8plate | Device | 12 mm or 16 mm plate. 24 mm or 36 mm screw |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Treatment time | Will be followed with repeated clinical examinations until correction of deformity. | up to 104 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Radiological correction | After correction of deformity. | up to 104 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bjarne Møller-Madsen, Professor | Aarhus University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aarhus University Hospital | Aarhus | 8000 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17414005 | Background | Stevens PM. Guided growth for angular correction: a preliminary series using a tension band plate. J Pediatr Orthop. 2007 Apr-May;27(3):253-9. doi: 10.1097/BPO.0b013e31803433a1. | |
| 21983939 | Background | Jelinek EM, Bittersohl B, Martiny F, Scharfstadt A, Krauspe R, Westhoff B. The 8-plate versus physeal stapling for temporary hemiepiphyseodesis correcting genu valgum and genu varum: a retrospective analysis of thirty five patients. Int Orthop. 2012 Mar;36(3):599-605. doi: 10.1007/s00264-011-1369-5. Epub 2011 Oct 9. |
| Label | URL |
|---|---|
| Research Group Page | View source |
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| ID | Term |
|---|---|
| D000013 | Congenital Abnormalities |
| D056304 | Genu Valgum |
| ID | Term |
|---|---|
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D013537 | Sutures |
| ID | Term |
|---|---|
| D053831 | Surgical Fixation Devices |
| D013523 | Surgical Equipment |
| D004864 | Equipment and Supplies |
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| Staples (Richards, Smith & Nephew) | Device | Staples (3 on each side) |
|
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| Hospital Webpage | View source |