Evidence map›Paper›PMID 34392444›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2022

Treatment of genu valgum by a novel percutaneous transverse metaphyseal osteotomy of the distal femur in children and adolescents.

Ahmed Samir Barakat, Amr Arafa, Mohamed Tageldeen Mohamed, Abo Bakr Zein, Ahmed Afifi, Joseph Salah Farah Wanas, Hassan El Barbary, Atef Hanna, Mohamed Hegazy, Ahmed Hosny Khalifa

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 48% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Surgical outcome of angular deformity correction of lower limbs in rickets: a cross-sectional study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Ahmed Samir BarakatOrthopaedic Surgery Department, Cairo University, Cairo, Egypt.
Amr ArafaOrthopaedic Surgery Department, Cairo University, Cairo, Egypt.
Mohamed Tageldeen MohamedOrthopaedic Surgery Department, Cairo University, Cairo, Egypt.
Abo Bakr ZeinOrthopaedic Surgery Department, Cairo University, Cairo, Egypt.
Ahmed AfifiOrthopaedic Surgery Department, Cairo University, Cairo, Egypt. ahmedafifi@kasralainy.edu.eg.ORCID http://orcid.org/0000-0001-6637-8426
Joseph Salah Farah WanasThe National Institute of the Neuromotor System, Imbaba, Giza, Egypt.
Hassan El BarbaryOrthopaedic Surgery Department, Cairo University, Cairo, Egypt.
Atef HannaOrthopaedic Surgery Department, Cairo University, Cairo, Egypt.
Mohamed HegazyOrthopaedic Surgery Department, Cairo University, Cairo, Egypt.
Ahmed Hosny KhalifaKlinik Für Unfallchirurgie, Medizinische Hochschule, Hannover, Germany.
Cairo University · EGMedizinische Hochschule Hannover · DEThe National Institute of Neuromotor System · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the outcomes of a novel percutaneous medial supracondylar femoral osteotomy and above-knee cast technique in children and adolescents as a minimally invasive surgical intervention for treatment of genu valgum.

methodsIn this prospective study, 60 patients (70 knees) with a tibiofemoral angle more than 15° were treated with a novel medial percutaneous supracondylar femoral osteotomy and above-knee cast and followed up for an average of 29 months. The radiological outcome was measured with MAD, TFA, and mLDFA. The functional outcome was evaluated by a modified Böstman score.

resultsThe preoperative mean MAD, TFA, and mLDFA were 2.9 cm, 16.3°, and 79.2° respectively. The Böstman score averaged preoperatively 23.1. There was a significant improvement of all radiological and clinical outcome measures (P < 0.001). Per Böstman score, 2 knees in one patient (3%) showed an unsatisfactory result, while 14 (20%) and 54 (77%) knees had a good or excellent result, respectively. Two patients (three limbs) needed early re-casting. Other complications were not encountered.

conclusionIn experienced hands, percutaneous transverse metaphyseal femoral osteotomy and above-knee casting appear to be a safe, supracondylar cost-effective, and reliable minimally invasive acute correction technique in genu valgum in children and adolescents. LEVEL OF EVIDENCE: Level IV-therapeutic.

Indexed as

Genu ValgumAdolescentChildFemurHumansKnee JointOsteotomyProspective StudiesCasting in genu valgumEarly mobilization in castFast recovery and fast track surgeryGenu valgum in children and adolescentsMinimal invasive surgery (MIS) in limb deformity correctionNovel mini open femoral supracondylar osteotomy technique

Identifiers

PMID34392444
OpenAlexW3196073297

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.