Relevance of instrumented gait analysis in the prediction of the rebound phenomenon after guided growth intervention

Stief F, Holder J, Braun S, Brenneis M, van Drongelen S, Byrnes SK, Layher F, Dussa CU, Meurer A, Böhm H (2024)

Publication Type: Journal article

Publication year: 2024

Journal

Scientific Reports Nature Publishing Group: Open Access Journals - Option B

Book Volume: 14

Article Number: 16060

Journal Issue: 1

DOI: 10.1038/s41598-024-66169-9

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.

Involved external institutions

Universitätsklinikum Frankfurt am Main (KGU) DE Germany (DE) Behandlungszentrum Aschau GmbH DE Germany (DE) Universitätsklinikum Jena DE Germany (DE)

How to cite

APA:

Stief, F., Holder, J., Braun, S., Brenneis, M., van Drongelen, S., Byrnes, S.K.,... Böhm, H. (2024). Relevance of instrumented gait analysis in the prediction of the rebound phenomenon after guided growth intervention. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-66169-9

MLA:

Stief, Felix, et al. "Relevance of instrumented gait analysis in the prediction of the rebound phenomenon after guided growth intervention." Scientific Reports 14.1 (2024).

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