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Related Experiment Videos

Fluoroscopic technique versus Phemister technique for epiphysiodesis.

F J Liotta1, T A Ambrose, R E Eilert

  • 1Department of Orthopaedic Surgery, University of Colorado Health Sciences Center, Denver.

Journal of Pediatric Orthopedics
|March 1, 1992
PubMed
Summary

The fluoroscopic technique for epiphysiodesis in limb length discrepancy offers a shorter hospital stay and less need for physical therapy compared to the Phemister technique, with similar efficacy and complication rates.

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics

Background:

  • Limb length discrepancy is a common pediatric orthopedic condition.
  • Epiphysiodesis is a surgical procedure to arrest bone growth and correct discrepancies.

Purpose of the Study:

  • To compare the outcomes of the Phemister technique and the fluoroscopic technique for epiphysiodesis.
  • To evaluate efficacy, hospital stay, physical therapy needs, and complication rates.

Main Methods:

  • Retrospective study of 70 patients undergoing epiphysiodesis.
  • 44 patients received the Phemister technique, 26 received the fluoroscopic technique.
  • Data collected on growth plate arrest, hospital stay, physical therapy, and complications.

Main Results:

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  • Both techniques achieved 100% growth plate arrest.
  • Fluoroscopic technique had a shorter hospital stay (1.8 vs. 3.5 days) and lower physical therapy requirement (8% vs. 40%).
  • Complication rates were similar (4.5% Phemister vs. 4% fluoroscopic).

    • Conclusions:

    • The fluoroscopic technique is a safe and effective alternative to the Phemister technique.
    • Fluoroscopic technique offers advantages including smaller scars, less postoperative stiffness, and shorter hospital stays.
    • The fluoroscopic technique is recommended for epiphysiodesis due to comparable results and improved patient outcomes.