Related Experiment Video
Updated: Jun 2, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Endoscopically aided physeal bar takedown and guided growth for the treatment of angular limb deformity
Erik K Loraas1, Gregory A Schmale
1Department of Orthopaedics and Sports Medicine, University of Washington School of Medicine, Seattle Children's Hospital, Washington, USA.
Abstract:
The treatment of physeal arrest after infection remains a challenge. This report describes localized endoscopic epiphysiolysis combined with guided growth in the treatment of partial physeal arrest and limb deformity in an infant after infection. Over a year's time, the valgus was corrected and the plate was removed. The patient returned to full activity. Physeal arrest may occur at anytime after physeal trauma, highlighting the importance of long-term follow-up. Endoscopic physeal bar takedown combined with guided growth of the distal femur can be an effective option for the treatment.
