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Updated: Sep 7, 2025
06:53
A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies
Published on: July 4, 2017
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Growth Deceleration for Limb Length Discrepancy: Tension Band Plates Followed to Maturity.
Peter Stevens1, Matias Desperes1, Philip K McClure1
1Department of Orthopedics, University of Utah, Salt Lake City, Utah, United States of America.
Strategies in Trauma and Limb Reconstruction
|June 23, 2022
Summary
Tension band plates (TBP) offer an effective and reversible method for growth deceleration to correct limb length discrepancy. This technique is suitable for various ages and causes of anisomelia, presenting advantages over more permanent methods.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Limb reconstruction
Background:
- Limb length discrepancy (LLD) requires intervention, with epiphysiodesis being a common treatment.
- Optimal timing and efficacy of LLD interventions remain debated.
- Tension band plates (TBP) represent an alternative epiphysiodesis method.
Purpose of the Study:
- To evaluate the efficacy and outcomes of TBP for limb length discrepancy in skeletally mature patients.
- To discuss preferred timing, technique, and complication management for TBP.
- To compare TBP with other epiphysiodesis techniques.
Main Methods:
- Retrospective review of 66 patients (3-16.6 years) with 2-9 cm predicted LLD treated with TBP.
- Inclusion criteria: >1 year growth potential, >18-month follow-up, Risser stage 1.
- Procedures included distal femoral, pan genu, and proximal tibial tethering; bi-annual radiographic assessment.
Main Results:
- Successful outcome defined as <1.5 cm residual LLD.
- Nine patients (13.6%) experienced iatrogenic mechanical axis deviation, managed by implant repositioning.
- Under-correction occurred in late presenters; one over-correction and one recurvatum deformity required further intervention.
Conclusions:
- TBP is an effective, reversible growth deceleration technique for modest LLD across a wide age range.
- TBP offers advantages over definitive methods like percutaneous epiphysiodesis (PE) or percutaneous epiphysiodesis with transphyseal screws (PETS).
- Proper timing and execution are crucial for successful TBP outcomes.
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