Proximal Tibial Osteotomy Osteoclasis In Infantile Genu-Varum

Proximal Tibial Osteotomy Osteoclasis In Infantile Genu-Varum: Improving the Technique and Managing Potential Complications.

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04752995

Enrollment

Registered

2021-02-12

Start date

2013-01-31

Completion date

2016-01-31

Last updated

2021-02-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Deformity Knee, Deformity of Limb

Keywords

Genu varum, mini-invasive, osteotomy, osteoclasis

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

Detailed description

Seventy children with 122 legs suffering significant infantile genu-varum were treated by percutaneous osteotomy-osteoclasis technique. The mean age was 46 months. Genu varum was bilateral in 52 children and unilateral in 18 with a mean preoperative proximal medial tibial angle 66.67 ± 2.670. Under general anesthesia, transverse osteotomy osteoclasis was performed below the tibial tuberosity. Follow-up radiograph was done within the first post-operative week and then every two weeks to assess alignment and consolidation.

Interventions

PROCEDUREosteotomy

osteotomy osteoclasis of upper tibia

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

TREATMENT

Masking

NONE

Intervention model description

prospective randomized study

Eligibility

Sex/Gender

ALL

Age

36 Months to 52 Months

Healthy volunteers

Inclusion criteria

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

Exclusion criteria

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

Design outcomes

Primary

Measure	Time frame	Description
proximal medial tibial angle	one year	This angle was used for assessment of degree of deformity correction and to follow the presence of under- or over-correction
the posterior proximal tibial angle	one year	confirm the absence or presence of any sagittal pro or recurvatum deformities(normal=81±2 degrees)
Self-Administered Patient Satisfaction Scale	one year	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.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026