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The problem
Intervention: Observation and conservative management (no intervention) to allow natural remodeling of coronal knee deformities over 1 year
Who it was tested with: 57 children (109 knees) with mean age 6.1 years (range 2-12 years) presenting with coronal knee deformities from healed nutritional rickets.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"We prospectively assessed 109 knees in 57 patients...for spontaneous correction of their coronal knee deformities over a period of 1 year. Outcome variables were, radiologic tibiofemoral angle and a questionnaire to assess parent satisfaction." The study demonstrates that most children under 8 with moderate deformities naturally correct without intervention, suggesting conservative management is effective and surgery may often be unnecessary.
One-year follow-up period may not capture longer-term remodeling; small sample size; no comparison group receiving surgery; does not specify how nutritional rickets was diagnosed or treated; geographic location not specified
Across countries and designs
1 study · 0 countries
