Guided growth in the correction of knee deformity in patients with congenital insensitivity to pain
Abstract Background Orthopedic manifestations of congenital insensitivity to pain (CIP) can be devastating if left untreated. Knee deformities are common in patients with CIP and might lead to joint destruction and loss of walking ability. The purpose of the present study was to report the results a...
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-021-02304-w |
| _version_ | 1818013032661385216 |
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| author | Soroush Baghdadi Sadegh Saberi Taghi Baghdadi |
| author_facet | Soroush Baghdadi Sadegh Saberi Taghi Baghdadi |
| author_sort | Soroush Baghdadi |
| collection | DOAJ |
| description | Abstract Background Orthopedic manifestations of congenital insensitivity to pain (CIP) can be devastating if left untreated. Knee deformities are common in patients with CIP and might lead to joint destruction and loss of walking ability. The purpose of the present study was to report the results and complications of guided growth procedures around the knee in patients with CIP. Methods In a retrospective review, all patients with CIP who underwent guided growth procedures around the knee from 2009 to 2017 at a tertiary referral hospital were evaluated. Patients with secondary insensitivity to pain (e.g., syringomyelia), as well as patients with incomplete records, were excluded. Demographic data, clinical findings, correction rate, and complications were recorded. Results Ten knees in six patients fulfilled the inclusion criteria. The median age was 10 (range, 5–12), with a mean follow-up of 31 months (range, 16–56). Distal femoral tension-band hemiepiphysiodesis was the most common procedure, followed by proximal tibial hemiepiphysiodesis. The mean correction rate was 0.28°/month for femoral deformity. Staples were removed prematurely in one patient due to extrusion. No cases of infection or skin dehiscence were observed. None of the patients needed a reconstructive knee procedure during the study period. Conclusions The findings of this study suggest that guided growth procedures might have a role in the correction of knee deformities in patients with CIP. However, the correction rate is lower than that of typically developing children, patients should be closely followed to prevent complications, and stringent patient selection criteria should be followed to ensure success. |
| first_indexed | 2024-04-14T06:27:22Z |
| format | Article |
| id | doaj.art-b912605d48404b06a4643d625502a2a0 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-14T06:27:22Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-b912605d48404b06a4643d625502a2a02022-12-22T02:07:45ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-03-011611810.1186/s13018-021-02304-wGuided growth in the correction of knee deformity in patients with congenital insensitivity to painSoroush Baghdadi0Sadegh Saberi1Taghi Baghdadi2Joint Reconstruction Research Center, Department of Orthopedics, Tehran University of Medical SciencesJoint Reconstruction Research Center, Department of Orthopedics, Tehran University of Medical SciencesJoint Reconstruction Research Center, Department of Orthopedics, Tehran University of Medical SciencesAbstract Background Orthopedic manifestations of congenital insensitivity to pain (CIP) can be devastating if left untreated. Knee deformities are common in patients with CIP and might lead to joint destruction and loss of walking ability. The purpose of the present study was to report the results and complications of guided growth procedures around the knee in patients with CIP. Methods In a retrospective review, all patients with CIP who underwent guided growth procedures around the knee from 2009 to 2017 at a tertiary referral hospital were evaluated. Patients with secondary insensitivity to pain (e.g., syringomyelia), as well as patients with incomplete records, were excluded. Demographic data, clinical findings, correction rate, and complications were recorded. Results Ten knees in six patients fulfilled the inclusion criteria. The median age was 10 (range, 5–12), with a mean follow-up of 31 months (range, 16–56). Distal femoral tension-band hemiepiphysiodesis was the most common procedure, followed by proximal tibial hemiepiphysiodesis. The mean correction rate was 0.28°/month for femoral deformity. Staples were removed prematurely in one patient due to extrusion. No cases of infection or skin dehiscence were observed. None of the patients needed a reconstructive knee procedure during the study period. Conclusions The findings of this study suggest that guided growth procedures might have a role in the correction of knee deformities in patients with CIP. However, the correction rate is lower than that of typically developing children, patients should be closely followed to prevent complications, and stringent patient selection criteria should be followed to ensure success.https://doi.org/10.1186/s13018-021-02304-wCongenital insensitivity to painHereditary sensory and motor neuropathyGuided growthKnee deformityHemiepiphysiodesisGenu valgum |
| spellingShingle | Soroush Baghdadi Sadegh Saberi Taghi Baghdadi Guided growth in the correction of knee deformity in patients with congenital insensitivity to pain Journal of Orthopaedic Surgery and Research Congenital insensitivity to pain Hereditary sensory and motor neuropathy Guided growth Knee deformity Hemiepiphysiodesis Genu valgum |
| title | Guided growth in the correction of knee deformity in patients with congenital insensitivity to pain |
| title_full | Guided growth in the correction of knee deformity in patients with congenital insensitivity to pain |
| title_fullStr | Guided growth in the correction of knee deformity in patients with congenital insensitivity to pain |
| title_full_unstemmed | Guided growth in the correction of knee deformity in patients with congenital insensitivity to pain |
| title_short | Guided growth in the correction of knee deformity in patients with congenital insensitivity to pain |
| title_sort | guided growth in the correction of knee deformity in patients with congenital insensitivity to pain |
| topic | Congenital insensitivity to pain Hereditary sensory and motor neuropathy Guided growth Knee deformity Hemiepiphysiodesis Genu valgum |
| url | https://doi.org/10.1186/s13018-021-02304-w |
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