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Post-traumatic Triradiate Cartilage Physeal Bar Excision with 3D Navigation: A Case Report
Emil Varas-Rodriguez1, Brandon J Yuan, Todd A Milbrandt
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
Case:
An 8-year-old boy underwent open reduction and internal fixation for pelvic and femoral fractures following a crush injury. At nine months postoperatively, computed tomography demonstrated a triradiate physeal bar contralateral to operated hemipelvis. A navigated physeal bar excision with O-arm navigation and low-dose radiation protocol was performed.
Conclusion:
Triradiate bar excision presents a technically challenging procedure that may be offset by O-arm navigation utilization, which provides accurate, real-time imaging that facilitates complete physeal bar excision while mitigating risk of damage to surrounding structures. Our low-dose protocol yielded a total exposure of 0.914 mSv, comparable with 1.5 pelvic radiographs.
