{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:03Z","timestamp":1777593603843,"version":"3.51.4"},"reference-count":29,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Institute of Medical Sciences of the University of Opole","award":["P-2024-001"],"award-info":[{"award-number":["P-2024-001"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Biomechanical disorders may result from joint deformities. The purpose of this prospective research was to assess total load distribution over the lower limbs and balance in individuals before and after an hemiepiphysiodesis procedure performed due to valgus or varus knee deformity. Methods: Thirty-five patients, mean age 12 years, who underwent hemiphysiodesis for valgus or varus deformity of the knee were evaluated in comparison to a healthy control group. In patients, the percentage distribution of weight-bearing capacity between the operated and unoperated limbs was analyzed before and after surgery. Balance was assessed based on CoG (center of gravity) sway area and the CoG path length. Results were collected using the FreeMED MAXI pedobarographic platform. Results: Before surgery, statistically significant lower load on the entire affected limb was noted compared to unaffected limb. The values of path of center of gravity improved statistically significantly after surgery, compared to the values before surgery. There were no differences in the load on the treated lower limb in the study group and the non-dominant limb in the control group. There were no differences between the load on the non-operated limb in the study group and the load on the dominant limb in the control group. In the hemiepiphysiodesis group there were no significant differences between the mean total load on the treated and untreated limb after surgery. The median CoG sway area and path length in the group of patients after hemiphysiodesis and in the healthy control group did not differ. Conclusions: After hemiphysiodesis, the percentage load distribution did not differ between the operated and non-operated lower limb. Hemiepiphysiodesis allows for achieving balance similar to the healthy control group. Performing hemiepiphysiodesis allows for the improvement of balance parameters and load distribution in the lower limbs.<\/jats:p>","DOI":"10.3390\/jcm14238601","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T16:20:29Z","timestamp":1765210829000},"page":"8601","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Body Weight Distribution and Balance in Patients with Valgus or Varus Knee Deformity Treated with Hemiepiphysiodesis"],"prefix":"10.3390","volume":"14","author":[{"given":"Pawe\u0142","family":"Leyko","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, Institute of Medical Sciences, University of Opole, Al. Witosa 26, 45-401 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3264-011X","authenticated-orcid":false,"given":"Monika","family":"Zaborska","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Institute of Medical Sciences, University of Opole, 45-040 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5608-1294","authenticated-orcid":false,"given":"Agnieszka","family":"Walczak","sequence":"additional","affiliation":[{"name":"University Clinical Centre in Gda\u0144sk, 80-952 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4644-0111","authenticated-orcid":false,"given":"\u0141ukasz","family":"Tomczyk","sequence":"additional","affiliation":[{"name":"Department of Food Safety and Quality Management, Poznan University of Life Sciences, Wojska Polskiego 31, 60-624 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3889-0223","authenticated-orcid":false,"given":"Marcin","family":"Pelc","sequence":"additional","affiliation":[{"name":"Institute of Medical Sciences, University of Opole, Oleska 48, 45-052 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksander","family":"Mnich","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, Institute of Medical Sciences, University of Opole, Al. Witosa 26, 45-401 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8486-3636","authenticated-orcid":false,"given":"Igor","family":"Kowal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, Multidisciplinary Hospital in Zgorzelec, 59-900 Zgorzelec, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7587-666X","authenticated-orcid":false,"given":"Piotr","family":"Morasiewicz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, Institute of Medical Sciences, University of Opole, Al. Witosa 26, 45-401 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Trisolino, G., Boarini, M., Mordenti, M., Evangelista, A., Gallone, G., Stallone, S., Zarantonello, P., Antonioli, D., Di Gennaro, G.L., and Stilli, S. (2021). Outcomes of Temporary Hemiepiphyseal Stapling for Correcting Genu Valgum in Children with Multiple Osteochondromas: A Single Institution Study. Children, 8.","DOI":"10.3390\/children8040287"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1097\/BPO.0b013e3181653ade","article-title":"Hemiepiphysiodesis for the correction of angular deformity about the knee","volume":"28","author":"Urquhart","year":"2008","journal-title":"J. Pediatr. Orthop."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s11832-009-0178-5","article-title":"Epiphyseal stapling of the proximal tibia for idiopathic genu valgum","volume":"3","author":"Courvoisier","year":"2009","journal-title":"J. Child. Orthop."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Dai, Z.Z., Liang, Z.P., Li, H., Ding, J., Wu, Z.K., Zhang, Z.M., and Li, H. (2021). Temporary hemiepiphysiodesis using an eight-plate implant for coronal angular deformity around the knee in children aged less than 10 years: Efficacy, complications, occurrence of rebound and risk factors. BMC Musculoskelet. Disord., 22.","DOI":"10.1186\/s12891-020-03915-w"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/MOP.0b013e328334a600","article-title":"Advances in growth plate modulation for lower extremity malalignment (knock knees and bow legs)","volume":"22","author":"Goldman","year":"2010","journal-title":"Curr. Opin. Pediatr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s11832-016-0758-0","article-title":"Comparative study between staples and eight plate in the management of coronal plane deformities of the knee in skeletally immature children","volume":"10","author":"Kumar","year":"2016","journal-title":"J. Child. Orthop."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1302\/2058-5241.6.200098","article-title":"Growth modulation with tension-band plates for the correction of paediatric lower limb angular deformity: Current concepts and indications for a rational use","volume":"6","author":"Masquijo","year":"2021","journal-title":"EFORT Open Rev."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1097\/BPO.0b013e31817baab2","article-title":"Temporary hemiepiphysiodesis for idiopathic genua valga in adolescents: Percutaneous transphyseal screws (PETS) versus stapling","volume":"28","author":"Moens","year":"2008","journal-title":"J. Pediatr. Orthop."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1097\/BPO.0000000000000115","article-title":"The efficacy and complications of 2-hole 3.5 mm reconstruction plates and 4 mm noncanulated cancellous screws for temporary hemiepiphysiodesis around the knee","volume":"34","author":"Aslani","year":"2014","journal-title":"J. Pediatr. Orthop."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1302\/0301-620X.92B2.22937","article-title":"Correcting genu varum and genu valgum in children by guided growth: Temporary hemiepiphysiodesis using tension band plates","volume":"92","author":"Ballal","year":"2010","journal-title":"J. Bone Jt. Surg. Br."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1007\/s004310100834","article-title":"Correction of length discrepancies and angular deformities of the leg by Blount\u2019s epiphyseal stapling","volume":"160","author":"Raab","year":"2001","journal-title":"Eur. J. Pediatr."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/j.knee.2020.04.024","article-title":"Temporary hemiepiphysiodesis for correcting idiopathic and pathologic deformities of the knee: A retrospective analysis of 355 cases","volume":"27","author":"Radtke","year":"2020","journal-title":"Knee"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s11832-008-0155-4","article-title":"Minimal invasive epiphysiodesis using a modified \u201cCanale\u201d-technique for correction of angular deformities and limb leg length discrepancies","volume":"3","author":"Ramseier","year":"2009","journal-title":"J. Child. Orthop."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1097\/MOP.0b013e32834231b3","article-title":"Surgical epiphysiodesis indications and techniques: Update","volume":"23","author":"Ghanem","year":"2011","journal-title":"Curr. Opin. Pediatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/s00132-022-04219-8","article-title":"Epiphysiodesis and hemiepiphysiodesis: Physeal arrest and guided growth for the lower extremity","volume":"51","author":"Willegger","year":"2022","journal-title":"Orthopade"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1177\/18632521221115059","article-title":"Angular deformities after percutaneous epiphysiodesis for leg length discrepancy","volume":"16","author":"Weinmayer","year":"2022","journal-title":"J. Child. Orthop."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/BPO.0b013e3181aa24a8","article-title":"Physeal stapling versus 8-plate hemiepiphysiodesis for guided correction of angular deformity about the knee","volume":"29","author":"Wiemann","year":"2009","journal-title":"J. Pediatr. Orthop."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"208","DOI":"10.4103\/0019-5413.152484","article-title":"Correction of coronal plane deformities around the knee using a tension band plate in children younger than 10 years","volume":"49","author":"Kulkarni","year":"2015","journal-title":"Indian J. Orthop."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Morasiewicz, P., Leyko, P., Tomczyk, \u0141., and Kazubski, K. (2024). Do Patient Sex and Age Affect Hemiepiphysiodesis Outcomes?. J. Clin. Med., 13.","DOI":"10.3390\/jcm13061654"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Leyko, P., Zaborska, M., Walczak, A., Tomczyk, \u0141., Pelc, M., Mnich, A., Operacz, R., and Morasiewicz, P. (2025). Gait Analysis in Patients After Hemiepiphysiodesis Due to Valgus or Varus Knee Deformity. J. Clin. Med., 14.","DOI":"10.3390\/jcm14020444"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.jor.2020.01.001","article-title":"Hemiepiphysiodesis using 2-holed reconstruction plate for correction of angular deformity of the knee in children","volume":"20","author":"Kurup","year":"2020","journal-title":"J. Orthop."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e28626","DOI":"10.1097\/MD.0000000000028626","article-title":"Prediction of loss of correction after hemiepiphysiodesis for the alignment of lower limb angular deformities","volume":"101","author":"Schagemann","year":"2022","journal-title":"Medicine"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/j.injury.2018.03.016","article-title":"Balance and lower limb loads distribution after Ilizarov corticotomy","volume":"49","author":"Morasiewicz","year":"2018","journal-title":"Injury"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"108","DOI":"10.5152\/ArcHealthSciRes.2023.22087","article-title":"Comparison of the Foot-Ankle Characteristics and Physical and Functional Performance of Racquet Sport Players","volume":"10","author":"Dilek","year":"2023","journal-title":"Arch. Health Sci. Res."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Arslan, M., and G\u00f6rg\u00fc, S.\u00d6. (2023). Effect of short-term spinal orthosis and insoles application on cobb angle, plantar pressure and balance in individuals with adolescent idiopathic scoliosis. Clin. Biomech., 110.","DOI":"10.1016\/j.clinbiomech.2023.106121"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Brusa, J., Maggio, M.C., Giustino, V., Thomas, E., Zangla, D., Iovane, A., Palma, A., Corsello, G., Messina, G., and Bellafiore, M. (2020). Upper and lower limb strength and body posture in children with congenital hypothyroidism: An observational case-control study. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17134830"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e21968","DOI":"10.1097\/MD.0000000000021968","article-title":"Is bodyweight affecting plantar pressure distribution in children? An observational study","volume":"99","author":"Feka","year":"2020","journal-title":"Medicine"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.clinbiomech.2015.10.009","article-title":"Pedobarographic analysis of body weight distribution on the lower limbs and balance after Ilizarov corticotomies","volume":"31","author":"Morasiewicz","year":"2016","journal-title":"Clin. Biomech."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.gaitpost.2016.07.006","article-title":"Gait analysis and functional outcomes after twelve-week rehabilitation in patients with surgically treated ankle fractures","volume":"49","author":"Suciu","year":"2016","journal-title":"Gait Posture"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/23\/8601\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T16:42:57Z","timestamp":1765212177000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/23\/8601"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,4]]},"references-count":29,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["jcm14238601"],"URL":"https:\/\/doi.org\/10.3390\/jcm14238601","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,4]]}}}