Outcomes of Temporary Hemi-Epiphysiodesis Using a New Device for The Treatment of Pediatric Valgus Knee Deformity: A Preliminary Report

This study aimed to evaluate the efficacy of hemi-epiphysiodesis using a new device (X-plate) for thecorrection of genu valgum.

In total, 22 children with a total of 34 pathologic knee valgus deformities underwent the procedure andwere followed up 25.3 months on average.

The mean time to clinical correction of genu valgum was 10.9±2.2 months. Furthermore, the meanpreoperative anatomic Lateral Distal Femoral Angle (aLDFA) and mechanical Tibia Femoral angle (mTFA) wereobtained at 75.1±3.8 and 6±2.8 degrees, respectively. When clinical correction of the deformity was achieved, themean of aLDFA and mTFA corrections were determined at 8.9±5.3 and 6.5±3.2 degrees, respectively. The meanspeed of aLDFA and mTFA corrections were estimated at 0.8±0.45 and 0.6±0.3 degrees per month, respectively.The postoperative aLDFA and mTFA were measured at 84±4.2 and -0.8±2.9 on average. With a mean of 25.3±14.5months at final follow-up, there were 6 (17.6%) mild valgus knees, 26 (75.5%) normal alignment knees, and only 2(5.9%) mild varus knee within an acceptable clinical limit.

Hemi-epiphysiodesis using X-plate at the distal physis of the femur is an effective and safe method forthe treatment of valgus knee deformity in children.Level of evidence: IV