Evidence map›Paper›PMID 40217231›Full record

SynthesisBMC musculoskeletal disorders2025

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.

Ahmed O Sabry, Mohamed K A Genedy, Salma Abouelwafa, Ahmed A Khalil, Omar Mady, Noureldin Mostafa, Rana Ali Ahmed Elsayed, Hassan Elbarbary, Mohamed Hegazy, Amr Abdelgawad

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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.

Ahmed O SabryOrthopaedic Department, Faculty of Medicine, Cairo University, El Saray Street Manial - El Manial, Cairo, 11956, Egypt. ahmed.o.sabry@kasralainy.edu.eg.
Mohamed K A GenedyOrthopaedic Department, Faculty of Medicine, Cairo University, El Saray Street Manial - El Manial, Cairo, 11956, Egypt.
Salma AbouelwafaOrthopaedic Department, Faculty of Medicine, Cairo University, El Saray Street Manial - El Manial, Cairo, 11956, Egypt.
Ahmed A KhalilOrthopaedic Department, Faculty of Medicine, Cairo University, El Saray Street Manial - El Manial, Cairo, 11956, Egypt.
Omar MadyOrthopaedic Department, Faculty of Medicine, Cairo University, El Saray Street Manial - El Manial, Cairo, 11956, Egypt.
Noureldin MostafaOrthopaedic Department, Faculty of Medicine, Cairo University, El Saray Street Manial - El Manial, Cairo, 11956, Egypt.
Rana Ali Ahmed ElsayedOrthopaedic Department, Faculty of Medicine, Cairo University, El Saray Street Manial - El Manial, Cairo, 11956, Egypt.
Hassan ElbarbaryOrthopaedic Department, Faculty of Medicine, Cairo University, El Saray Street Manial - El Manial, Cairo, 11956, Egypt.
Mohamed HegazyOrthopaedic Department, Faculty of Medicine, Cairo University, El Saray Street Manial - El Manial, Cairo, 11956, Egypt.
Amr AbdelgawadMaimonides Medical Center, Brooklyn, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAngular knee deformities such as genu varum and genu valgum are common in children and can impact their functional mobility and quality of life. Although surgical interventions like guided growth plates or tension-band plates (TBP) and percutaneous epiphysiodesis transphyseal screws (PETS) are commonly used, comparative analyses of their efficacy and safety are limited. This study aims to evaluate the correction rates and safety profiles of TBP and PETS in treating pediatric coronal angular knee deformities.

methodsA comprehensive literature search was conducted in Scopus, Web of Science, and PubMed until November 2024. Only comparative clinical studies comparing PETS and TBP in pediatric patients with coronal knee deformities were included.

resultsA total of five studies encompassing 473 physes were included. Their methodological quality was assessed using the MINORS criteria, with scores ranging from 18 to 19, indicating a low risk of bias. PETS demonstrated significantly higher correction rates compared to TBP, with an overall pooled mean difference in angular correction of 0.17°/month (p < 0.0003). In the femoral subgroup analysis (LDFA), the mean difference correction rate was 0.21°/month in favor of PETS (p = 0.01). Additionally, the PETS group achieved a statistically significant mechanical axis deviation mean difference correction rate of 1.02 mm/month (p = 0.006). Complication rates were relatively lower with PETS across all included studies.

conclusionPETS achieves faster angular and mechanical axis deviation correction rates compared to TBP, highlighting its efficiency in treating pediatric coronal angular knee deformities. Additionally, PETS demonstrates relatively fewer complications, reinforcing its position as a more effective and cost-efficient option for guided growth in children. CLINICAL TRIAL NUMBER: Not applicable. LEVEL OF EVIDENCE: II.

Indexed as

Bone PlatesBone ScrewsGenu ValgumGenu VarumKnee JointChildEpiphysesHumansTreatment OutcomeAngular knee deformitiesGenu valgumGenu varumHemiepiphysiodesisMeta-AnalysisPercutaneous epiphysiodesis transphyseal screwSystematic reviewTension-band plating

Identifiers

PMID40217231
PMCPMC11987184

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.