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Hemiepiphyseal stapling for ankle valgus in multiple hereditary exostoses
Marc Tompkins1, Craig Eberson, Michael Ehrlich
1Alpert Brown Medical School, Providence, Rhode Island, USA. tompkinsm@hotmail.com
American Journal of Orthopedics (Belle Mead, N.J.)
|April 7, 2012
Summary
Hemiepiphyseal stapling effectively corrects valgus ankle deformity in multiple hereditary exostoses for skeletally immature patients. This method allows growth modulation and can be reversed if needed.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Skeletal Dysplasias
Background:
- Valgus ankle deformity in multiple hereditary exostoses (MHE) causes significant disability.
- Current management options include various surgical techniques with differing outcomes.
Observation:
- This study reports on 3 skeletally immature children with MHE and valgus ankle deformity.
- The children underwent hemiepiphyseal stapling of the medial distal tibial epiphysis.
Findings:
- Hemiepiphyseal stapling demonstrated ipsilateral corrective potential for valgus ankle deformity.
- Correction of the tibiotalar axis was evaluated relative to chronological and bone age.
Implications:
- Hemiepiphyseal stapling is a viable option for managing ankle valgus in MHE.
- The procedure allows for growth modulation and potential reversal by staple removal.
