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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Related Experiment Video

Updated: Apr 22, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Hemiepiphysiodesis for posttraumatic tibial valgus.

Peter M Stevens1, Felicity Pease

  • 1Department of Orthopedic Surgery, University of Utah School of Medicine, Primary Children's Medical Center, Salt Lake City, UT 84113, USA. peter.stevens@mac.com

Journal of Pediatric Orthopedics
|May 4, 2006
PubMed
Summary
This summary is machine-generated.

Temporary hemiepiphysiodesis effectively corrects posttraumatic tibial valgus in children. This guided growth technique offers a safe and satisfying treatment for this common fracture complication.

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Area of Science:

  • Pediatric Orthopedics
  • Pediatric Trauma Surgery

Background:

  • Posttraumatic tibial valgus is a known complication following proximal tibial metaphyseal fractures in children.
  • Current management strategies for this malalignment lack consensus, ranging from surgical intervention to observation.

Purpose of the Study:

  • To evaluate the efficacy and safety of temporary hemiepiphysiodesis for correcting posttraumatic tibial valgus in pediatric patients.

Main Methods:

  • The study reviewed 12 pediatric patients treated with temporary hemiepiphysiodesis (using staples or a 2-hole plate for guided growth) for posttraumatic tibial valgus.
  • A single adult case of "benign neglect" was included for long-term outcome comparison.

Main Results:

  • Hemiepiphysiodesis successfully corrected tibial valgus across all measured parameters, including mechanical axis deviation and tibiofemoral angle.
  • All patients achieved correction without permanent growth arrest, demonstrating high patient and parent satisfaction.

Conclusions:

  • Temporary hemiepiphysiodesis is a safe and effective treatment for posttraumatic tibial valgus in children.
  • This guided growth technique provides reliable correction and positive outcomes, with no reported permanent growth disturbances.