Proximal Tibial Osteotomy Osteoclasis In Infantile Genu-Varum

NCT04752995 | Completed

• 1 other identifier: Tanta u
• Study Type: interventional
• Target: 70
• Locations: 0 countries
• Sites: N/A

Brief Summary

Genu-varum is a common problem encountered in pediatric orthopedic. Correction of pathological deformity is mandatory to ensure normal load transfer through the knee. In this study, the investigators describe a new technique of osteotomy osteoclasis in order to evaluate if it is an effective and reliable method in management of infantile genu varum

Conditions

Deformity Knee; Deformity of Limb

Keywords

Genu varum, mini-invasive, osteotomy, osteoclasis

Outcome Measures

Primary Outcomes (3)

• proximal medial tibial angle

  This angle was used for assessment of degree of deformity correction and to follow the presence of under- or over-correction

  one year

• the posterior proximal tibial angle

  confirm the absence or presence of any sagittal pro or recurvatum deformities(normal=81±2 degrees)

  one year

• Self-Administered Patient Satisfaction Scale

  the investigators asked the parents to rate their satisfaction on a scale from zero to 100 (100 to 75 very satisfied, \<75 to 50 somewhat satisfied, \<50 to 25 somewhat dissatisfied and \<25 dissatisfied).Those who were not satisfied are requested to explain the cause of dissatisfaction.

  one year

Study Arms (1)

high tibial osteotomy

OTHER

Under general anesthesia, a one-cm vertical skin incision was done at the medial subcutaneous border of the tibia, one fingerbreadth below the tibial tuberosity. This was confirmed by intra-operative C-arm images. Longitudinal periosteal incision was done with minimal dissection. Incomplete medial transverse osteotomy including both anterior and posterior cortex was performed using drill bit or small thin osteotome.Osteotomy was completed manually by osteoclasis of the lateral cortex to provide postoperative stability by the preserved lateral periosteum. No fibular osteotomy was needed in the present study.

Procedure: osteotomy

Interventions

osteotomy PROCEDURE

osteotomy osteoclasis of upper tibia

high tibial osteotomy

Eligibility Criteria

• Age: 36 Months - 52 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Infantile genu-varum
• PMTA≤70 not spontaneously corrected

You may not qualify if:

• Active rickets or other metabolic disease
• Patients in whom the femur or the joint is the main site of the deformity

Sponsors & Collaborators

• Tanta University: lead

Related Publications (1)

• Rab GT. Oblique tibial osteotomy revisited. J Child Orthop. 2010 Apr;4(2):169-72. doi: 10.1007/s11832-009-0228-z. Epub 2009 Dec 20.

  PMID: 20234769 BACKGROUND

MeSH Terms

Conditions

Genu Varum

Interventions

Osteotomy

Condition Hierarchy (Ancestors)

Bone Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Orthopedic Procedures; Surgical Procedures, Operative

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assisstant professor

Model Details: prospective randomized study

Study Record Dates

• First Submitted: February 9, 2021
• First Posted: February 12, 2021
• Study Start: January 1, 2013
• Primary Completion: July 1, 2015
• Study Completion: January 1, 2016
• Last Updated: February 12, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share