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Partial epiphysiodesis at the knee to correct angular deformity.

J R Bowen, J L Leahey, Z H Zhang

    Clinical Orthopaedics and Related Research
    |September 1, 1985
    PubMed
    Summary
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    This study presents a partial epiphysiodesis technique to correct adolescent genu valgum or varum. The method uses growth curves for precise timing, offering predictable correction with minimal scarring and avoiding repeat surgeries.

    Area of Science:

    • Orthopedic surgery
    • Pediatric orthopedics
    • Skeletal growth modulation

    Background:

    • Idiopathic genu valgum and varum are common angular deformities in adolescents.
    • Correction is often necessary to prevent long-term joint issues.
    • Current methods may have limitations in predictability or invasiveness.

    Purpose of the Study:

    • To describe a novel method of partial epiphysiodesis for correcting adolescent idiopathic genu valgum/varum.
    • To establish a predictable surgical approach using growth curves for optimal timing.
    • To evaluate the efficacy and benefits of this minimally invasive technique.

    Main Methods:

    • A partial epiphysiodesis technique targeting the femur and/or tibia in skeletally immature patients.
    • Utilization of a standard growth curve to determine the optimal timing for intervention.

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  • Surgical procedure designed for a single-stage correction before skeletal maturity.

    • Main Results:

    • Successful correction of angular deformities in 13 treated extremities followed to skeletal maturity.
    • Demonstrated predictability in achieving desired correction.
    • Procedure resulted in a small scar and avoided the need for a second surgical intervention.

    Conclusions:

    • Partial epiphysiodesis is an effective and predictable surgical option for adolescent idiopathic genu valgum/varum.
    • The described technique offers advantages including minimal scarring and single-stage treatment.
    • This method allows for correction of deformity by leveraging remaining skeletal growth.