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- Title
Relevance of instrumented gait analysis in the prediction of the rebound phenomenon after guided growth intervention.
- Authors
Stief, Felix; Holder, Jana; Braun, Sebastian; Brenneis, Marco; van Drongelen, Stefan; Byrnes, S. Kimberly; Layher, Frank; Dussa, Chakravarthy U.; Meurer, Andrea; Böhm, Harald
- Abstract
Predictors of rebound after correction of coronal plane deformities using temporary hemiepiphysiodesis (TH) are not well defined. The following research questions were tested: (1) Is the dynamic knee joint load useful to improve rebound prediction accuracy? (2) Does a large initial deformity play a critical role in rebound development? (3) Are BMI and a young age risk factors for rebound? Fifty children and adolescents with idiopathic knee valgus malalignment were included. A deviation of the mechanical femorotibial angle (MFA) of ≥ 3° into valgus between explantation and the one-year follow-up period was chosen to classify a rebound. A rebound was detected in 22 of the 50 patients (44%). Two predictors of rebound were identified: 1. reduced peak lateral knee joint contact force in the first half of the stance phase at the time of explantation (72.7% prediction); 2. minor initial deformity according to the MFA (70.5% prediction). The best prediction (75%) was obtained by including both parameters in the binary logistic regression method. A TH should not be advised in patients with a minor initial deformity of the leg axis. Dynamic knee joint loading using gait analysis and musculoskeletal modeling can be used to determine the optimum time to remove the plates.
- Subjects
KNEE joint; ANATOMICAL planes; KNEE; ANKLE; RESEARCH questions; FORECASTING; LOGISTIC regression analysis
- Publication
Scientific Reports, 2024, Vol 14, Issue 1, p1
- ISSN
2045-2322
- Publication type
Article
- DOI
10.1038/s41598-024-66169-9