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- Talk
- 23/09/2021
- UK
Free Paper Session: Tension Band Plating for the Correction of Leg Length Discrepancy
Description
This VTT transcript features a presentation by Dr. Deborah Eastwood discussing a clinical study on the effectiveness of dual tension band plating for correcting leg length inequalities. She introduces the paper as a simple representation of enlightenment experiences of the authors, focusing on the reversible method of epiphysiodesis, which she argues may be more versatile compared to traditional physeal ablation. Dr. Eastwood outlines concerns raised in existing literature about variable correction rates and the possibility of intra-articular deformities caused by the technique.
The study's objectives include assessing the correction rates for femoral and tibial lengths and any related deformities. The research involved a retrospective cohort from the Royal National Orthopaedic Hospital (RNOH), examining patients who underwent the dual tension band procedure. No other corrective procedures were included during the guided growth phase.
Key findings indicated that the correction rate at the femur and tibia was satisfactory, averaging approximately 4 mm per year. She notes significant changes in leg length discrepancies, particularly the observation of a 'volcano deformity' at the tibia, although the clinical significance of this angle change remains undetermined. The results suggest a significant reduction in leg length differences, which was better than many reported alternatives.
As a conclusion, Dr. Eastwood acknowledges a shift in the authors' views on the guided growth technique. She emphasizes its potential use in younger patients where growth predictions are challenging. The presentation emphasizes the need for ongoing evaluation in clinical practices, concluding with a message of collaboration and adaptation in surgical approaches.