Author/Authors :
Vogel Majewski Rodrigues, Natasha Universidade de São Paulo - Medical School - Institute of Orthopedics and Traumatology - Hospital das Clínicas, São Paulo, SP, Brazil , Guarniero, Roberto Universidade de São Paulo - Medical School - Institute of Orthopedics and Traumatology - Hospital das Clínicas, São Paulo, SP, Brazil , José Fortes Villas Boas, Paulo Universidade Estadual Paulista - Medical School, Botucatu, SP, Brazil , Rodrigues de Miranda, Bruno Faculdade de Medicina do ABC, Santo André, SP, Brazil , Botter Montenegro, Nei Universidade de São Paulo - Medical School - Institute of Orthopedics and Traumatology - Hospital das Clínicas, São Paulo, SP, Brazil
Abstract :
Objective: Our objective is to evaluate whether the use of guided
growth with eight-plates is more effective than the use of Blount
staples for the correction of the idiopathic genu varum or idiopathic
genu valgum. Methods: A systematic review (SR) was carried out
according to the appropriate methodology for randomized clinical
trials (RCTs). We searched seven databases through a previously
defined methodology, and we included RCTs, regardless of language,
period of publication and status of publication. Results:Resulted in
6830 articles retrieved. Of theses, we identified 14 potential eligible
studies. but just one RCT was included for the SR. The included
RCT compares the eight-plate and the Blount staple and showed no
statistically significant difference for the outcomes of time to correct
the deformity, postoperative pain after 24 hours and postoperative
pain after 72 hours. The study is of low or very low level of evidence
to determine the most effective technique. We didn’t find a RCT
that compared the correction of the genu varum..Conclusion: Good
quality randomized clinical trials comparing Blount staples versus
eight-plaque must be performed to determine which technique
is superior for coronal plane corrections. Level of Evidence I,
Systematic review of Level RCTs.
Keywords :
Child , Adolescent , Genu Varum , Genu Valgum