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Surgical epiphysiodesis indications and techniques: update.

Ismat Ghanem1, Joseph A Karam, Roger F Widmann

  • 1Department of Orthopaedic Surgery, Hotel-Dieu de France Hospital, Boulevard Alfred Naccache, Ashrafieh, Beirut, Lebanon. ismat.ghanem@gmail.com

Current Opinion in Pediatrics
|December 21, 2010
PubMed
Summary
This summary is machine-generated.

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Recent advances in epiphysiodesis, including percutaneous epiphysiodesis using transphyseal screws (PETS) and guided growth, offer effective treatments for pediatric limb deformities. These methods show excellent outcomes and minimal complications for angular deformities and limb length discrepancies.

Area of Science:

  • Pediatric Orthopedics
  • Surgical Innovation
  • Growth Modulation Techniques

Background:

  • Epiphysiodesis is a surgical procedure to correct limb length discrepancies and angular deformities in children.
  • Understanding the indications and advancements in epiphysiodesis is crucial for effective pediatric orthopedic management.

Purpose of the Study:

  • To summarize current indications for epiphysiodesis.
  • To highlight recent technological advancements in epiphysiodesis and their clinical significance.

Main Methods:

  • Review of current literature on epiphysiodesis techniques.
  • Focus on percutaneous epiphysiodesis using transphyseal screws (PETS) and guided growth with eight plates.

Main Results:

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  • Percutaneous epiphysiodesis using transphyseal screws (PETS) and guided growth are the latest techniques for hemiepiphysiodesis.
  • Both PETS and guided growth demonstrate high success rates with low complication profiles.
  • Conclusions:

    • PETS and guided growth are the current standard of care for pediatric lower extremity angular deformities.
    • Permanent percutaneous epiphysiodesis remains the primary surgical option for limb length discrepancies.