[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100583645":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":38,"centralContacts":39,"locations":49,"responsibleParty":67,"collaborators":38,"id":71,"slug":72,"hasResults":73,"nctId":74,"briefTitle":75,"officialTitle":76,"acronym":77,"eligibilityCriteria":78,"healthyVolunteers":73,"sex":79,"minAge":80,"maxAge":81,"enrollmentInfo":82,"targetDuration":38,"studyType":85,"phases":86,"briefSummary":88,"conditions":89,"keywords":95,"overallStatus":100,"whyStopped":38,"lastUpdateSubmitDate":101,"lastUpdatePostDateStruct":102,"startDateStruct":105,"completionDateStruct":107,"leadSponsor":109,"locationsCount":110},{"fullName":5,"class":6},"Assiut University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Tension Band Plate (TBP) Group","ACTIVE_COMPARATOR","Participants in this group will undergo guided growth correction of coronal angular knee deformities using the Tension Band Plate (TBP) technique. A non-locking 8-plate is placed extraperiosteally across the growth plate with two screws to modulate bone growth gradually. This technique allows controlled correction without permanently damaging the physis and is commonly used for treating genu valgum and genu varum.",[13],"Procedure: Tension Band Plate (TBP) Surgery",{"label":15,"type":10,"description":16,"interventionNames":17},"Percutaneous Epiphysiodesis by Transphyseal Screw (PETS) Group","Participants in this group will undergo guided growth correction using Percutaneous Epiphysiodesis by Transphyseal Screw (PETS). This involves inserting a partially threaded cannulated screw across the growth plate to slow down growth on one side of the bone, achieving gradual angular correction. PETS is a minimally invasive alternative to TBP and has been associated with faster correction rates.",[18],"Procedure: Percutaneous Epiphysiodesis by Transphyseal Screw (PETS) Surgery",[20,30],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","Tension Band Plate (TBP) Surgery","A guided growth procedure in which a non-locking 8-plate is placed extraperiosteally across the physis (growth plate) with two screws, one in the epiphysis and one in the metaphysis. This allows for gradual correction of coronal angular deformities without causing permanent growth arrest.",[9],[26,27,28,29],"Guided Growth with Tension Band Plate","Extraperiosteal Growth Modulation with 8-Plate","Temporary Hemi-epiphysiodesis with Tension Band Plate","8-Plate Hemi-epiphysiodesis",{"type":21,"name":31,"description":32,"armGroupLabels":33,"otherNames":34},"Percutaneous Epiphysiodesis by Transphyseal Screw (PETS) Surgery","A minimally invasive procedure in which a partially threaded cannulated screw is inserted across the growth plate (transphyseal) to slow growth on one side of the bone. This technique allows for gradual correction of genu valgum and genu varum.",[15],[35,36,37],"Transphyseal Screw Epiphysiodesis","Growth Modulation with Transphyseal Screw","Minimally Invasive Epiphysiodesis with Screw",null,[40,45],{"name":41,"role":42,"phone":43,"phoneExt":38,"email":44},"Mohamed G Shazly, MBBCh","CONTACT","+201090503004","mohamed.shazly@med.aun.edu.eg",{"name":46,"role":42,"phone":47,"phoneExt":38,"email":48},"Nariman E Abol Oyoun, PhD","+201222302343","n.aboloyoun@aun.edu.eg",[50],{"facility":51,"status":38,"city":52,"state":38,"zip":53,"country":54,"countryCode":55,"cosmosGeoPoint":56,"geoPoint":61,"contacts":62},"Assiut University Hospital","Asyut","71525","Egypt","EG",{"type":57,"coordinates":58},"Point",[59,60],31.18368,27.18096,{"lat":60,"lon":59},[63],{"name":64,"role":42,"phone":65,"phoneExt":38,"email":66},"Mohamed K Ahmed, PhD","+201026161155","mohamed.khaled@aun.edu.eg",{"type":68,"investigatorFullName":69,"investigatorTitle":70,"investigatorAffiliation":5,"oldNameTitle":38,"oldOrganization":38},"PRINCIPAL_INVESTIGATOR","Mohamed Gamal Abdelghany Shazly","Resident","100583645","plate-vs-screw-for-guided-growth-in-coronal-knee-deformities-100583645",false,"NCT06879015","Plate vs. Screw for Guided Growth in Coronal Knee Deformities","Tension Band Plate (TBP) vs Percutaneous Epiphysiodesis by Transphyseal Screw (PETS) in Coronal Angular Knee Deformities in Children: a Randomized Controlled Study","PETS vs TBP","Inclusion Criteria:\n\n1. Children and adolescents beyond the age of physiological varus\u002Fvalgus correction (i.e., typically ≥4 years for genu varum and ≥7 years for genu valgum) with Mechanical Axis Deviation (MAD) in lower limbs and abnormal joint orientation angles, in the coronal plane either femoral or tibial.\n2. Open physis (growth plate) on radiographs and at least one year of growth remaining before age of skeletal maturity (typically ≤14 years in females, ≤16 years in males).\n\nExclusion Criteria:\n\n1. Sick Physis as in Blount's disease stages III-V or any partial or total physeal arrest caused by trauma, inflammation or neoplasia.\n2. Uncorrectable systemic disorders affecting bone growth and alignment, including but not limited to:\n\n   i- Severe metabolic disorders (e.g., advanced rickets, hypophosphatasia, mucopolysaccharidoses) ii- Uncontrolled endocrine disorders (e.g., untreated hypothyroidism, growth hormone abnormalities) iii- Severe connective tissue disorders (e.g., osteogenesis imperfecta, advanced Ehlers-Danlos syndrome) iv- Chronic inflammatory or hematologic conditions that impair bone growth (e.g., severe juvenile idiopathic arthritis, advanced sickle cell disease)","ALL","7 Years","16 Years",{"count":83,"type":84},60,"ESTIMATED","INTERVENTIONAL",[87],"NA","The goal of this clinical trial is to compare two surgical techniques, Tension Band Plate (TBP) and Percutaneous Epiphysiodesis by Transphyseal Screw (PETS), in children with coronal angular knee deformities.\n\nThe main questions it aims to answer are:\n\n* Which technique provides better correction of coronal knee deformities?\n* Are there differences in complication rates or recovery times between TBP and PETS?\n\nParticipants will:\n\n* Undergo either TBP or PETS surgery for knee deformity correction.\n* Attend follow-up visits for radiographic and clinical evaluations.\n\nResearchers will compare TBP and PETS groups to see if one method leads to better deformity correction and fewer complications.",[90,91,92,93,94],"Epiphysiodesis","Bone Malalignment","Lower Extremity Deformities, Congenital","Genu Varum","Genu Valgum",[96,97,98,99],"Guided Growth","Growth Modulation","Tension Band Plate","Percutaneous Epiphysiodesis by Transphyseal Screw","NOT_YET_RECRUITING","2025-03-14",{"date":103,"type":104},"2025-03-17","ACTUAL",{"date":106,"type":84},"2025-04-01",{"date":108,"type":84},"2027-06-01",{"name":5,"class":6},1]