Osteotomy of Lower Extremity
Conditions
Keywords
locking plate system, blade plate, distal femoral osteotomy, flexion contracture, deformities, multidimensional osteotomies, pediatric orthopedics, surgical technique
Brief summary
Background: The PediLoc® Locking Cannulated Blade Plate System, originally designed for proximal femoral osteotomies, has also been used for multidimensional deformity correction of the distal femur. This study describes the surgical technique and retrospectively analyses consolidation rates of distal femoral osteotomies using this system, comparing them to distal femoral osteotomies using the DePuy Synthes® 90°LCP Pediatric Condylar Plate. Materials and methods: A retrospective review was conducted for patients who underwent distal femoral osteotomy with the PediLoc® Blade Plate (Blade Plate) and the DePuy Synthes® 90°LCP Pediatric Condylar Plate (90°LCP-PCP) at the University Children's Hospital Zurich (2020-2024). Consolidation rates were assessed using Reborn-, Rust-, and modified Rust-scores at 6 weeks, 3 months, and 6 months postoperatively and compared using an unpaired t-test. Geometric planes of osteotomy were analysed, and a stepwise correction technique was described.
Interventions
distal femoral osteotomies using the PediLoc® Locking Cannulated Blade Plate System
distal femoral osteotomies using the 90°LCP-PCP
Sponsors
Study design
Eligibility
Inclusion criteria
* All Patients that underwent distal femoral osteotomies * informed consent
Exclusion criteria
* intraoperative technical error * missing data * missing IC
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Consolidation rates using Reborn-, Rust- and modified Rust-scores on serial X-ray images | 6 weeks, 3 months, 6 months | Reborn Score: Minimum: 4pts. maximum 16pts., higher scores are better Rust Score ( Radiographic Union Scale for the Tibia ): Minimum: 4pts. maximum 12pts., higher scores are better modified Rust Score ( Radiographic Union Scale for the Tibia ): Minimum: 4pts. maximum 16pts., higher scores are better |
Countries
Switzerland