ArticleBMC musculoskeletal disorders2022
Rebound phenomenon and its risk factors after hemiepiphysiodesis using tension band plate in children with coronal angular deformity.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Percutaneous epiphysiodesis transphyseal screw versus tension-band plating as hemiepiphysiodesis in treating coronal angular knee deformities: a systematic review and meta-analysis of comparative studies.BMC musculoskeletal disorders · 2025Pooled it
- Rebound After Guided Growth for Idiopathic Genu Valgum: Long-Term Radiographic Follow-Up to Skeletal Maturity and Associated Factors.Journal of clinical medicine · 2026Article
- Secondary deformity following paediatric tibial lengthening with circular fixators.International orthopaedics · 2026Article
- Clinical Outcomes and Correction Rates of Valgus and Varus Deformities Treated with Temporary Hemiepiphysiodesis Using Tension Plates: A Retrospective Cohort Study.Medicina (Kaunas, Lithuania) · 2026Article
- Article
- Determinants of Surgical Response to Lateral Tibial Hemiepiphysiodesis in Idiopathic and Non-Idiopathic Genu Varum: Real-World Evidence from a Tertiary Pediatric Cohort.Journal of clinical medicine · 2025Article
- Utilizing Femoral Metaphyseal Sleeves in Primary Total Knee Arthroplasty for Post-Traumatic Osteoarthritis: A Case Report.HCA healthcare journal of medicine · 2025Article
- Contributions of the Distal Femur and Proximal Tibia to Idiopathic Genu Varum and Genu Valgum in Adolescents.Clinics in orthopedic surgery · 2024Article
- Hemi-Percutaneous Epiphysiodesis Using Transphyseal Screws at Lateral Proximal Tibias After Epiphyseal Fusion of Distal Phalanges in the Hand Results in Undercorrection of Genu Varum.Medicina (Kaunas, Lithuania) · 2024Article
- Simultaneous MPFL reconstruction and guided growth result in low rates of recurrent patellofemoral instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2024Article
- Article
- Effective time, correction speed and termination time of hemi-epiphysiodesis in children.World journal of orthopedics · 2024Review
- Predictors of Recurrent Flexion Contracture after Total Knee Arthroplasty in Osteoarthritic Knees with Greater Than 15° Flexion Contracture.Clinics in orthopedic surgery · 2023Article
- Isolating factors for the prediction of rebound after guided growth with tension band plating for the valgus deformity of the knee.Journal of children's orthopaedics · 2023Article
- Fusionless All-Pedicle Screws for Posterior Deformity Correction in AIS Immature Patients Permit the Restoration of Normal Vertebral Morphology and Removal of the Instrumentation Once Bone Maturity Is Reached.Journal of clinical medicine · 2023Article
- Indications and Timing of Guided Growth Techniques for Pediatric Upper Extremity Deformities: A Literature Review.Children (Basel, Switzerland) · 2023Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study was performed to evaluate the rebound phenomenon after the correction of coronal angular deformity by hemiepiphysiodesis using tension band plate in children and to identify its risk factors.
methodsWe reviewed 50 children (mean age, 11.0 ± 2.5 years) with 94 physes who had undergone hemiepiphysiodesis using tension band plate due to coronal angular deformity of the lower limb. Patients' demographic data including sex, age at initial surgery and plate removal, affected bone (distal femur or proximal tibia), affected side, and body mass index were collected. The mechanical lateral distal femoral angle (mLDFA) and the mechanical medial proximal tibial angle (mMPTA) were measured from the teleradiogram, Physes were divided into rebound and non-rebound group, and rebound group was defined as the physes which had ≥ 5° of mLDFA or mMPTA returning to its original deformity. Generalized estimating equation based multivariable analysis was used to identify the risk factors for the rebound phenomenon after the deformity correction.
resultsA total of 41 physes classified into rebound group and 53 physes into non-rebound group. There were significant differences in the age at initial surgery (p = 0.004), the age at implant removal (p = 0.002), the amount of correction (p = 0.001), and the rate of correction (p < 0.001) between two groups. The rate of correction was significantly associated with the rebound phenomenon (p = 0.044). The risk of rebound phenomenon was 1.2-fold higher as the rate of correction increased by 1° per year. The cutoff values of the correction rate between the two groups were 6.9°/year (p < 0.001).
conclusionsThis study showed that the rebound group had younger age and faster correction rate than those in the non-rebound group. In addition, the correction rate for deformity was a significant risk factor for the rebound phenomenon after hemiepiphysiodesis using the tension band plate. Close monitoring after implant removal is required for children who have a rapid correction rate over 7°/year.
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