Do Patient Sex and Age Affect Hemiepiphysiodesis Outcomes?
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| cris.virtual.author-orcid | 0000-0002-4644-0111 | |
| cris.virtual.author-orcid | #PLACEHOLDER_PARENT_METADATA_VALUE# | |
| cris.virtual.author-orcid | #PLACEHOLDER_PARENT_METADATA_VALUE# | |
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| cris.virtualsource.author-orcid | #PLACEHOLDER_PARENT_METADATA_VALUE# | |
| dc.abstract.en | (1) Background: The purpose of this study was to assess the effects of sex and age on the outcomes of hemiepiphysiodesis performed for genu valgum and varum deformity correction. (2) Methods: We analyzed patients who had undergone O-Plate hemiepiphysiodesis due to genu valgum or varum in the period of 2020–2023. The study group comprised 22 females and 20 males aged between 3 and 14 years at the time of surgery. Age-stratification yielded a subgroup of 3–10-year-olds (16 patients, 20 treated limbs) and a subgroup of 11–14-year-olds (26 patients, 28 treated limbs). We assessed the following parameters: hospital stay duration, deformity correction time, MAD correction, amount of angular correction, correction velocity, correction rate, complete deformity correction, deformity recurrence, surgery duration, and complications. (3) Results: The mean follow-up was 19 months. The mean surgery time in the subgroup of 3–10-year-olds (25.62 min) was significantly longer than that in the subgroup of 11–14-year-olds (22.81 min, p = 0.018). The mean deformity correction time in the male subgroup (11.33 months) was significantly shorter than that in the female subgroup (15.87 months, p = 0.013). A comparison of the subgroups stratified by age yielded a mean amount of angular correction of 10.5° in the younger children, which was significantly higher than that of 7.2° achieved in the older children; p = 0.027. The difference in mean correction velocity between 3–10-year-old children (4.03 mm/month) and that in 11–14-year-old children (1.39 mm/month) was statistically significant; p = 0.031. The mean rate of correction was 0.49°/month in females and 0.89°/month in males, with the latter rate significantly greater; p = 0.023. The difference in the mean rate of correction between the younger (1.08°/month) and the older subgroup (0.59°/month) was also significant; p = 0.018. A significant difference in terms of deformity recurrence rates was observed between the younger subgroup (66.67%) and older subgroup (only 10.53%); p = 0.005. (4) Conclusions: Patient sex had no significant effect on hemiepiphysiodesis outcomes; patient age has a considerable effect on hemiepiphysiodesis outcomes. | |
| dc.affiliation | Wydział Nauk o Żywności i Żywieniu | |
| dc.affiliation.institute | Katedra Zarządzania Jakością i Bezpieczeństwem Żywności | |
| dc.contributor.author | Morasiewicz, Piotr | |
| dc.contributor.author | Leyko, Paweł | |
| dc.contributor.author | Tomczyk, Łukasz | |
| dc.contributor.author | Kazubski, Krystian | |
| dc.date.access | 2025-05-07 | |
| dc.date.accessioned | 2025-08-13T11:59:11Z | |
| dc.date.available | 2025-08-13T11:59:11Z | |
| dc.date.copyright | 2024-03-14 | |
| dc.date.issued | 2024 | |
| dc.description.abstract | <jats:p>(1) Background: The purpose of this study was to assess the effects of sex and age on the outcomes of hemiepiphysiodesis performed for genu valgum and varum deformity correction. (2) Methods: We analyzed patients who had undergone O-Plate hemiepiphysiodesis due to genu valgum or varum in the period of 2020–2023. The study group comprised 22 females and 20 males aged between 3 and 14 years at the time of surgery. Age-stratification yielded a subgroup of 3–10-year-olds (16 patients, 20 treated limbs) and a subgroup of 11–14-year-olds (26 patients, 28 treated limbs). We assessed the following parameters: hospital stay duration, deformity correction time, MAD correction, amount of angular correction, correction velocity, correction rate, complete deformity correction, deformity recurrence, surgery duration, and complications. (3) Results: The mean follow-up was 19 months. The mean surgery time in the subgroup of 3–10-year-olds (25.62 min) was significantly longer than that in the subgroup of 11–14-year-olds (22.81 min, p = 0.018). The mean deformity correction time in the male subgroup (11.33 months) was significantly shorter than that in the female subgroup (15.87 months, p = 0.013). A comparison of the subgroups stratified by age yielded a mean amount of angular correction of 10.5° in the younger children, which was significantly higher than that of 7.2° achieved in the older children; p = 0.027. The difference in mean correction velocity between 3–10-year-old children (4.03 mm/month) and that in 11–14-year-old children (1.39 mm/month) was statistically significant; p = 0.031. The mean rate of correction was 0.49°/month in females and 0.89°/month in males, with the latter rate significantly greater; p = 0.023. The difference in the mean rate of correction between the younger (1.08°/month) and the older subgroup (0.59°/month) was also significant; p = 0.018. A significant difference in terms of deformity recurrence rates was observed between the younger subgroup (66.67%) and older subgroup (only 10.53%); p = 0.005. (4) Conclusions: Patient sex had no significant effect on hemiepiphysiodesis outcomes; patient age has a considerable effect on hemiepiphysiodesis outcomes.</jats:p> | |
| dc.description.accesstime | at_publication | |
| dc.description.bibliography | il., bibliogr. | |
| dc.description.finance | publication_nocost | |
| dc.description.financecost | 0,00 | |
| dc.description.if | 2,9 | |
| dc.description.number | 6 | |
| dc.description.points | 140 | |
| dc.description.version | final_published | |
| dc.description.volume | 13 | |
| dc.identifier.doi | 10.3390/jcm13061654 | |
| dc.identifier.issn | 2077-0383 | |
| dc.identifier.uri | https://sciencerep.up.poznan.pl/handle/item/4198 | |
| dc.identifier.weblink | https://www.mdpi.com/2077-0383/13/6/1654 | |
| dc.language | en | |
| dc.relation.ispartof | Journal of Clinical Medicine | |
| dc.relation.pages | art. 1654 | |
| dc.rights | CC-BY | |
| dc.sciencecloud | send | |
| dc.share.type | OPEN_JOURNAL | |
| dc.subject.en | hemiepiphysiodesis | |
| dc.subject.en | valgus knee | |
| dc.subject.en | varus knee | |
| dc.subject.en | O-Plate | |
| dc.subject.en | sex | |
| dc.subject.en | age | |
| dc.subject.en | radiological results | |
| dc.subject.en | clinical results | |
| dc.title | Do Patient Sex and Age Affect Hemiepiphysiodesis Outcomes? | |
| dc.title.volume | Special Issue Targeted Diagnosis, Physiotherapy, and Rehabilitation of Tailored Management Sport Injuries | |
| dc.type | JournalArticle | |
| dspace.entity.type | Publication | |
| oaire.citation.issue | 6 | |
| oaire.citation.volume | 13 |