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Related Experiment Video

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[Growth modulation through hemiepiphysiodesis : Novel surgical techniques: risks and progress].

B Vogt1, A Frommer2, G Gosheger3

  • 1Kinderorthopädie, Deformitätenrekonstruktion und Fußchirurgie, Universitätsklinikum Münster, Münster, Deutschland. bjoern.vogt@ukmuenster.de.

Der Orthopade
|June 25, 2021
PubMed
Summary
This summary is machine-generated.

Hemiepiphysiodesis (HED) guides bone growth to correct lower limb angular deformities in children. Temporary HED using implants offers excellent results with reduced complications, while non-surgical methods are under investigation.

Keywords:
AdolescentChildrenEpiphysiodesisGenu valgumGenu varumGrowth modulationGrowth plateLower extremity deformities

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Area of Science:

  • Paediatric Orthopaedic Surgery
  • Skeletal Growth Modulation
  • Limb Deformity Correction

Background:

  • Angular deformities of the lower limb are common in paediatric orthopaedics.
  • Leveraging the physis (growth plate) is crucial for correcting these malalignments during childhood and adolescence.
  • Hemiepiphysiodesis (HED) is a surgical technique for growth modulation via asymmetrical growth plate arrest.

Purpose of the Study:

  • To review the principles and applications of Hemiepiphysiodesis (HED) in paediatric lower limb deformity correction.
  • To discuss the efficacy and outcomes of temporary HED using various implantable devices.
  • To explore emerging non-surgical approaches for growth modulation.

Main Methods:

  • Review of surgical techniques for Hemiepiphysiodesis (HED), focusing on permanent versus temporary methods.
  • Analysis of implant modifications and their impact on reducing complications associated with temporary HED.
  • Examination of experimental, non-surgical growth modulation procedures.

Main Results:

  • Temporary HED using tension band devices (e.g., two-hole-plates, flexible staples) is a preferred method for growth guidance, yielding excellent results.
  • Advancements in implant design have significantly decreased implant-associated complications.
  • Non-surgical experimental procedures show promise for future growth modulation applications.

Conclusions:

  • Temporary Hemiepiphysiodesis (HED) is an effective surgical strategy for correcting paediatric lower limb angular deformities.
  • Continuous innovation in implant technology enhances the safety and efficacy of HED.
  • Further research into non-surgical methods may offer less invasive alternatives for growth modulation.