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Surgical outcome of angular deformity correction of lower limbs in rickets: a cross-sectional study

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

This study aims to compare the functional and radiological outcomes following both guided growth surgery (GGS) and acute corrective osteotomy (ACO) correction of angular deformities in children with rickets.

Methods

A total of 8 and 7 children who had gradual GGS and ACO correction, respectively, for angular deformities due to rickets from 2002 to 2022 were recalled for follow-up. Demographic data, types of rickets, data on pharmacological treatment, biochemical parameters, recurrence of angular deformity and postoperative complications were obtained from the medical records. A radiographic evaluation of the leg was performed to determine the tibiofemoral angle. For functional evaluation, the Active Scale for Kids (ASK) and Lower Extremity Functional Scale (LEFS) instruments were used for children below and above 15 years old, respectively.

Results

In terms of the tibiofemoral angle, the GGS group documented greater angle changes compared to the ACO group, but the difference was not significant. In terms of functional outcomes, the overall score percentage of both groups was comparable with the GGS group showing a trend of higher score percentage compared to the ACO group. The GGS group presented no complication while 2 neurovascular injuries and 1 implant failure were recorded in the ACO group.

Conclusion

Both GGS and ACO procedures resulted in similar radiographic and functional outcomes for the treatment of rickets in children. GGS may be advantageous in terms of reducing complications of surgery. Nevertheless, the choice of surgical intervention should be made based on the patient's circumstances and the surgeon's preference.

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Data availability

All data generated or analyzed during this study are included in this published article.

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Funding

No funds, grants, or other support was received.

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Authors and Affiliations

  1. Department of Orthopaedic and Traumatology, Faculty of Medicine, University Kebangsaan Malaysia, Cheras, Malaysia

    Ahmad Syafiq Muhammad, Kamal Jamil, Abdul Halim Abdul-Rashid, Ahmad Fazly Abd-Rasid & Noor Azimatun Aizuddin

Authors
  1. Ahmad Syafiq Muhammad
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  2. Kamal Jamil
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  3. Abdul Halim Abdul-Rashid
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  4. Ahmad Fazly Abd-Rasid
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  5. Noor Azimatun Aizuddin
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Contributions

ASM, KJ, AHAR, AFAR and NAA contributed to conceptualization; ASM, KJ, AHAR, AFAR and NAA contributed to methodology; ASM, KJ, AHAR, AFAR and NAA contributed to formal analysis and investigation; ASM contributed to writing—original draft preparation; ASM, KJ and AHAR contributed to writing—review and editing; and KJ, AHAR, and AR supervised the study.

Corresponding author

Correspondence to Ahmad Syafiq Muhammad.

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The author(s) declare that they have no competing interests.

Ethical approval

This study was approved by the Ethical Committee, Faculty of Medicine, Universiti Kebangsaan Malaysia (FF-2022–011).

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Muhammad, A.S., Jamil, K., Abdul-Rashid, A.H. et al. Surgical outcome of angular deformity correction of lower limbs in rickets: a cross-sectional study. Eur J Orthop Surg Traumatol (2024). https://doi.org/10.1007/s00590-024-03943-5

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