Assessment of clinical effectiveness of temporary epiphysiodesis of long tubular bones growth plates using metal plates

Objectives: In structure of pathology of locomotor apparatus the inequality of lower limbs length in children is about 36%. Axial deformities of lower limbs leads to early development of arthroses, accompanied by violations of biomechanics of walk and spinal disorders. Traditional treatment methods do not always allow immediate eliminating of all deformity components. Also traditional methods are traumatic for patients, do not exclude recurrences. Temporary epiphysiodesis of growth plates is existing alternative method of treatment of difference in length of lower limbs and angular deformities of knee joints. This method is low-traumatic, minimally invasive medical interventions. Distinction of this method from other surgical interventions is the absence of solution of continuity of a bone. Authors evaluated clinical efficacy of temporary epiphysiodesis of long tubular bones growth plates using metal plates according to research available in the database of evidence-based medicine. Methods: Review of the literature was conducted on the safety and efficacy of temporary epiphysiodesis of long tubular bones growth plates using metal plates in databases PubMED, Cochrane Library, NICE, Clinical Trials, TripDatabase according to research issues(PICOs) and key words. Results: After literature review of 307 sources, relevant for PICOS-criteria reports were selected for the study, 14 of which were taken for final analysis. Remaining publications were excluded due to noncompliance with criteria of research questions. Conclusions: Following performed systematic search publications, studying clinical efficacy and safety of temporary epiphysiodesis of long tubular bones growth plates in children with congenital abnormalities of tubular bones were found. In this case, there is minimum damage to surrounding soft tissues, risk of intraoperational complications is minor, as there are no any large anatomic formations in this area. The limited quantity of studies concerned with research of clinical efficacy of temporary epiphysiodesis of long tubular bones growth plates stemmed from ethical barriers in conducting studies in pediatric practice.