Zhou Xiaoyu,Zhu Guanghui,Mei Haibo.Research advances of guided growth technique in the correction of bone angular deformities in children[J].Journal of Clinical Pediatric Surgery,,():886-892.[doi:10.3760/cma.j.cn101785-202311027-016]
Research advances of guided growth technique in the correction of bone angular deformities in children
- Keywords:
- Angular Deformity of Bone; Guided Growth Technique; Child
- Abstract:
- Pediatric bone angular deformity (ADB) is caused by a variety of factors due to uneven bone development.A major clinical manifestation is an abnormality of extremity physical line.Guided growth technique (GGT) is a surgical technique of fixing part of epiphyseal plate for preventing the growth of fixed side bone and retaining the contralateral growth of the same bone so as to gradually correct the angular deformity of extremities.GGT offers the advantages of simple operation,mini-invasiveness,fewer complications,effective reduction and an avoidance of osteotomy.In recent years,GGT has been gradually applied for a variety of angular deformities.The most common target sites include around knee joint,followed by ankle,hip joint and spine.Some progress has been achieved for correcting rotational deformity.Continuous improvement of implants has also further contributed to the development of GGT.This review summarized the latest advances and future perspectives of applying GGT for ADB in children.
References:
[1] Ding J,Wang F,Jin FC,et al.Finite element and biomechanical analysis of risk factors for implant failure during tension band plating[J].J Int Med Res,2020,48(11):300060520972075.DOI:10.1177/0300060520972075.
[2] Coppa V,Marinelli M,Procaccini R,et al.Coronal plane deformity around the knee in the skeletally immature population:a review of principles of evaluation and treatment[J].World J Orthop,2022,13(5):427-443.DOI:10.5312/wjo.v13.i5.427.
[3] Alkhatib N,Bouri F,Hegazy A,et al.Vitamin D and tibiofemoral joint orientation angles in children[J].J Pediatr Orthop B,2018,27(5):467-471.DOI:10.1097/BPB.0000000000000457.
[4] Assan BR,Simon AL,Adjadohoun S,et al.Guided growth vs.tibial osteotomy at early stage of Blount disease in squelletically immature patients[J].J Orthop,2021,25:140-144.DOI:10.1016/j.jor.2021.05.006.
[5] Willegger M,Bouchard M,Windhager R,et al.Epiphysiodesis and hemiepiphysiodesis:physeal arrest and guided growth for the lower extremity[J].Orthopade,2022,51(5):415-432.DOI:10.1007/s00132-022-04219-8.
[6] Stevens PM.Guided growth:1933 to the present[J].Strategies Trauma Limb Reconstr,2006,1(1):29-35.DOI:10.1007/s11751-006-0003-3.
[7] Gottliebsen M,Shiguetomi-Medina JM,Rahbek O,et al.Guided growth:mechanism and reversibility of modulation[J].J Child Orthop,2016,10(6):471-477.DOI:10.1007/s11832-016-0778-9.
[8] Franzone JM,Wallace MJ,Rogers KJ,et al.Multicenter series of deformity correction using guided growth in the setting of osteogenesis imperfecta[J].J Pediatr Orthop,2022,42(6):e656-e660.DOI:10.1097/BPO.0000000000002140.
[9] Métaizeau JP,Wong-Chung J,Bertrand H,et al.Percutaneous epiphysiodesis using transphyseal screws (PETS)[J].J Pediatr Orthop,1998,18(3):363-369.
[10] Stevens PM.Guided growth for angular correction:a preliminary series using a tension band plate[J].J Pediatr Orthop,2007,27(3):253-259.DOI:10.1097/BPO.0b013e31803433a1.
[11] Sánchez Mesa PA,Yamhure FH.Percutaneous hemi-epiphysiodesis using transphyseal cannulated screws for genu valgum in adolescents[J].J Child Orthop,2009,3(5):397-403.DOI:10.1007/s11832-009-0203-8.
[12] 肖汉,朱光辉,梅海波,等.半骨骺阻滞术治疗儿童先天性胫骨假关节愈合后胫骨近端外翻的疗效评价[J].临床小儿外科杂志,2022,21(12):1141-1146.DOI:10.3760/cma.j.cn101785-202204026-008. Xiao H,Zhu GH,Mei HB,et al.Evaluations of hemiepiphysiodesis for proximal tibial valgus after an initial union of congenital pseudarthrosis of the tibia in children[J].J Clin Ped Sur,2022,21(12):1141-1146.DOI:10.3760/cma.j.cn101785-202204026-008.
[13] Danino B,R?dl R,Herzenberg JE,et al.Growth modulation in idiopathic angular knee deformities:is it predictable?[J].J Child Orthop,2019,13(3):318-323.DOI:10.1302/1863-2548.13.190033.
[14] Walker JL,Scott AC,Stephenson LP,et al.Guided growth for varus deformity following early tibial osteotomy in infantile tibia vara-a multi-center study[J].J Pediatr Orthop,2022,42(9):488-495.DOI:10.1097/BPO.0000000000002238.
[15] Park H,Park M,Kim SM,et al.Hemiepiphysiodesis for idiopathic genu valgum:percutaneous transphyseal screw versus tension-band plate[J].J Pediatr Orthop,2018,38(6):325-330.DOI:10.1097/BPO.0000000000000821.
[16] Al-Aubaidi Z,Lundgaard B,Pedersen NW.Anterior distal femoral hemiepiphysiodesis in the treatment of fixed knee flexion contracture in neuromuscular patients[J].J Child Orthop,2012,6(4):313-318.DOI:10.1007/s11832-012-0415-1.
[17] Shore BJ,McCarthy J,Shrader MW,et al.Anterior distal femoral hemiepiphysiodesis in children with cerebral palsy:establishing surgical indications and techniques using the modified Delphi method and literature review[J].J Child Orthop,2022,16(1):65-74.DOI:10.1177/18632521221087529.
[18] Stevens P,Stephens A,Rothberg D.Guided growth for tibial recurvatum[J].Strategies Trauma Limb Reconstr,2021,16(3):172-175.DOI:10.5005/jp-journals-10080-1535.
[19] Westberry DE,Carpenter AM,Thomas JT,et al.Guided growth for ankle valgus deformity:the challenges of hardware removal[J].J Pediatr Orthop,2020,40(9):e883-e888.DOI:10.1097/BPO.0000000000001583.
[20] van Oosterbos M,van der Zwan AL,van der Woude HJ,et al.Correction of ankle valgus by hemiepiphysiodesis using the tension band principle in patients with multiple hereditary exostosis[J].J Child Orthop,2016,10(3):267-273.DOI:10.1007/s11832-016-0742-8.
[21] 李安平,胡雄科,赵卫华,等.半骺板阻滞术治疗儿童先天性胫骨假关节手术后踝外翻的临床研究[J].临床小儿外科杂志,2021,20(12):1149-1153.DOI:10.12260/lcxewkzz.2021.12.009. Li AP,Hu XK,Zhao WH,et al.Clinical study of hemiepiphyseal treatment for postoperative ankle valgus in children with congenital pseudarthrosis of the tibia[J].J Clin Ped Sur,2021,20(12):1149-1153.DOI:10.12260/lcxewkzz.2021.12.009.
[22] Driscoll MD,Linton J,Sullivan E,et al.Medial malleolar screw versus tension-band plate hemiepiphysiodesis for ankle valgus in the skeletally immature[J].J Pediatr Orthop,2014,34(4):441-446.DOI:10.1097/BPO.0000000000000116.
[23] Hu XK,Li AP,Liu K,et al.Design of a new "U"-shaped staple and its clinical application in postoperative ankle valgus of congenital pseudarthrosis of the tibia in children[J].Orthop Surg,2022,14(9):1981-1988.DOI:10.1111/os.13381.
[24] Zargarbashi R,Abdi R,Bozorgmanesh M,et al.Anterior distal hemiepiphysiodesis of tibia for treatment of recurrent equinus deformity due to flat-top talus in surgically treated clubfoot[J].J Foot Ankle Surg,2020,59(2):418-422.DOI:10.1053/j.jfas.2019.08.018.
[25] Portinaro N,Turati M,Cometto M,et al.Guided growth of the proximal femur for the management of hip dysplasia in children with cerebral palsy[J].J Pediatr Orthop,2019,39(8):e622-e628.DOI:10.1097/BPO.0000000000001069.
[26] Stevens PM,Anderson LA,Gililland JM,et al.Guided growth of the trochanteric apophysis combined with soft tissue release for legg-calve-perthes disease[J].Strategies Trauma Limb Reconstr,2014,9(1):37-43.DOI:10.1007/s11751-014-0186-y.
[27] Sheu H,Lee WC,Kao HK,et al.The effectiveness of adding guided growth to soft tissue release in treating spastic hip displacement[J].J Orthop Sci,2022,27(5):1082-1088.DOI:10.1016/j.jos.2021.06.019.
[28] McGillion S,Clarke NMP.Lateral growth arrest of the proximal femoral physis:a new technique for serial radiological observation[J].J Child Orthop,2011,5(3):201-207.DOI:10.1007/s11832-011-0339-1.
[29] Hsu PJ,Wu KW,Lee CC,et al.Does screw position matter for guided growth in cerebral palsy hips?[J].Bone Joint J,2020,102-B(9):1242-1247.DOI:10.1302/0301-620X.102B9.BJJ-2020-0340.R1.
[30] Hsieh HC,Wang TM,Kuo KN,et al.Guided growth improves coxa valga and hip subluxation in children with cerebral palsy[J].Clin Orthop Relat Res,2019,477(11):2568-2576.DOI:10.1097/CORR.0000000000000903.
[31] Newton PO,Upasani VV,Farnsworth CL,et al.Spinal growth modulation with use of a tether in an immature porcine model[J].J Bone Joint Surg Am,2008,90(12):2695-2706.DOI:10.2106/JBJS.G.01424.
[32] Stücker R.Results of treatment of progressive scoliosis with SMA staples[J].Orthopade,2009,38(2):176-180.DOI:10.1007/s00132-008-1364-8.
[33] Wong HK,Ruiz JNM,Newton PO,et al.Non-fusion surgical correction of thoracic idiopathic scoliosis using a novel,braided vertebral body tethering device:minimum follow-up of 4 years[J].JB JS Open Access,2019,4(4):e0026.DOI:10.2106/JBJS.OA.19.00026.
[34] McCarthy RE,Luhmann S,Lenke L,et al.The shilla growth guidance technique for early-onset spinal deformities at 2-year follow-up:a preliminary report[J].J Pediatr Orthop,2014,34(1):1-7.DOI:10.1097/BPO.0b013e31829f92dc.
[35] Luhmann SJ,Smith JC,McClung A,et al.Radiographic outcomes of shilla growth guidance system and traditional growing rods through definitive treatment[J].Spine Deform,2017,5(4):277-282.DOI:10.1016/j.jspd.2017.01.011.
[36] Kilmartin TE,Barrington RL,Wallace WA.Metatarsus primus varus.A statistical study[J].J Bone Joint Surg Br,1991,73(6):937-940.DOI:10.1302/0301-620X.73B6.1955440.
[37] Hecht PJ,Lin TJ.Hallux valgus[J].Med Clin North Am,2014,98(2):227-232.DOI:10.1016/j.mcna.2013.10.007.
[38] Kn?rr J,Soldado F,Violas P,et al.Treatment of hallux valgus in children and adolescents[J].Orthop Traumatol Surg Res,2022,108(1S):103168.DOI:10.1016/j.otsr.2021.103168.
[39] Davids JR,McBrayer D,Blackhurst DW.Juvenile hallux valgus deformity:surgical management by lateral hemiepiphyseodesis of the great toe metatarsal[J].J Pediatr Orthop,2007,27(7):826-830.DOI:10.1097/BPO.0b013e3181558a7c.
[40] Chiang MH,Wang TM,Kuo KN,et al.Management of juvenile hallux valgus deformity:the role of combined hemiepiphysiodesis[J].BMC Musculoskelet Disord,2019,20(1):472.DOI:10.1186/s12891-019-2867-7.
[41] Schlickewei C,Ridderbusch K,Breyer S,et al.Temporary screw epiphyseodesis of the first metatarsal for correction of juvenile hallux valgus[J].J Child Orthop,2018,12(4):375-382.DOI:10.1302/1863-2548.12.170208.
[42] Kelly JP,James MA.Radiographic outcomes of hemiepiphyseal stapling for distal radius deformity due to multiple hereditary exostoses[J].J Pediatr Orthop,2016,36(1):42-47.DOI:10.1097/BPO.0000000000000394.
[43] Soldado F,Diaz-Gallardo P,Cherqaoui A,et al.Unsuccessful mid-term results for distal humeral hemiepiphysiodesis to treat cubitus varus deformity in young children[J].J Pediatr Orthop B,2022,31(5):431-433.DOI:10.1097/BPB.0000000000000950.
[44] Siemensma MF,van Bergen CJA,van Es EM,et al.Indications and timing of guided growth techniques for pediatric upper extremity deformities:a literature review[J].Children (Basel),2023,10(2):195.DOI:10.3390/children10020195.
[45] Schagemann J,Kudernatsch N,Russlies M,et al.Prediction of loss of correction after hemiepiphysiodesis for the alignment of lower limb angular deformities[J].Medicine (Baltimore),2022,101(3):e28626.DOI:10.1097/MD.0000000000028626.
[46] Quintero D,Galbán M,Gil C.Correction of pediatric angular deformities in lower limbs through guided growth using a novel flexible plate system[J].Orthop Traumatol Surg Res,2023,109(3):103406.DOI:10.1016/j.otsr.2022.103406.
[47] Park SS,Kang S,Kim JY.Prediction of rebound phenomenon after removal of hemiepiphyseal staples in patients with idiopathic genu valgum deformity[J].Bone Joint J,2016,98-B(9):1270-1275.DOI:10.1302/0301-620X.98B9.37260.
[48] Farr S,Alrabai HM,Meizer E,et al.Rebound of frontal plane malalignment after tension band plating[J].J Pediatr Orthop,2018,38(7):365-369.DOI:10.1097/BPO.0000000000000846.
[49] Leveille LA,Razi O,Johnston CE.Rebound deformity after growth modulation in patients with coronal plane angular deformities about the knee:who gets it and how much?[J].J Pediatr Orthop,2019,39(7):353-358.DOI:10.1097/BPO.0000000000000935.
[50] Aksoy T,Bakircioglu S,Ozdemir E,et al.The fate of overcorrection after hemiepiphysiodesis in valgus deformities around the knee[J].J Pediatr Orthop,2023,43(7):e567-e573.DOI:10.1097/BPO.0000000000002429.
[51] Radtke K,Goede F,Schweidtmann K,et al.Temporary hemiepiphysiodesis for correcting idiopathic and pathologic deformities of the knee:a retrospective analysis of 355 cases[J].Knee,2020,27(3):723-730.DOI:10.1016/j.knee.2020.04.024.
[52] Stevens PM,Novais EN.Multilevel guided growth for hip and knee varus secondary to chondrodysplasia[J].J Pediatr Orthop,2012,32(6):626-630.DOI:10.1097/BPO.0b013e3182567a79.
[53] Horn A,Wright J,Bockenhauer D,et al.The orthopaedic management of lower limb deformity in hypophosphataemic rickets[J].J Child Orthop,2017,11(4):298-305.DOI:10.1302/1863-2548.11.170003.
[54] Trisolino G,Boarini M,Mordenti M,et al.Outcomes of temporary hemiepiphyseal stapling for correcting genu valgum in children with multiple osteochondromas:a single institution study[J].Children (Basel),2021,8(4):287.DOI:10.3390/children8040287.
[55] Raluy-Collado D,Sanpera IJr,Frontera-Juan G,et al.Screw length in the guided growth method[J].Arch Orthop Trauma Surg,2012,132(12):1711-1715.DOI:10.1007/s00402-012-1615-3.
[56] Burghardt RD,Kanellopoulos AD,Herzenberg JE.Hemiepiphyseal arrest in a porcine model[J].J Pediatr Orthop,2011,31(4):e25-e29.DOI:10.1097/BPO.0b013e31821a5d04.
[57] Stevens PM.Invalid comparison between methods of epiphysiodesis[J].J Pediatr Orthop,2018,38(1):e29-e30.DOI:10.1097/BPO.0000000000001020.
[58] Eltayeby HH,Iobst CA,Herzenberg JE.Hemiepiphysiodesis using tension band plates:does the initial screw angle influence the rate of correction?[J].J Child Orthop,2019,13(1):62-66.DOI:10.1302/1863-2548.13.180086.
[59] Arami A,Bar-On E,Herman A,et al.Guiding femoral rotational growth in an animal model[J].J Bone Joint Surg Am,2013,95(22):2022-2027.DOI:10.2106/JBJS.L.00819.
[60] Cobanoglu M,Cullu E,Kilimci FS,et al.Rotational deformities of the long bones can be corrected with rotationally guided growth during the growth phase[J].Acta Orthop,2016,87(3):301-305.DOI:10.3109/17453674.2016.1152450.
[61] Lazarus DE,Farnsworth CL,Jeffords ME,et al.Torsional growth modulation of long bones by oblique plating in a rabbit model[J].J Pediatr Orthop,2018,38(2):e97-e103.DOI:10.1097/BPO.0000000000001106.
[62] Ballal MS,Bruce CE,Nayagam S.Correcting genu varum and genu valgum in children by guided growth:temporary hemiepiphysiodesis using tension band plates[J].J Bone Joint Surg Br,2010,92(2):273-276.DOI:10.1302/0301-620X.92B2.22937.
[63] Guzman H,Yaszay B,Scott VP,et al.Early experience with medial femoral tension band plating in idiopathic genu valgum[J].J Child Orthop,2011,5(1):11-17.DOI:10.1007/s11832-010-0310-6.
Memo
收稿日期:2023-11-6。
基金项目:2022年湖南省卫生适宜技术推广项目(202218015912);儿童骨科学湖南省重点实验室专项经费(2023TP1019);湖南省儿童肢体畸形临床医学研究中心(2019SK4006)
通讯作者:梅海波,Email:meihaibo@sohu.com