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Percutaneous epiphyseodesis

K R Gabriel1, A H Crawford, D R Roy

  • 1Department of Orthopaedic Surgery, St. Louis University, Missouri.

Journal of Pediatric Orthopedics
|May 1, 1994
PubMed
Summary
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This study shows that percutaneous epiphyseodesis is a safe and effective technique for growth arrest in pediatric patients. The minimal incision method achieved successful growth arrest without complications in all cases.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Surgical Techniques

Background:

  • Epiphyseodesis is a surgical procedure to halt bone growth at the physis (growth plate).
  • Percutaneous techniques offer potential advantages over traditional open methods.
  • Evaluating the efficacy and safety of percutaneous epiphyseodesis is crucial for pediatric limb length discrepancy management.

Purpose of the Study:

  • To review the outcomes of percutaneous epiphyseodesis in a cohort of pediatric patients.
  • To assess the effectiveness and safety of a minimal incision technique for achieving growth arrest.
  • To describe technical variations and evaluate potential complications.

Main Methods:

  • Retrospective review of 29 patients with 56 physes treated with percutaneous epiphyseodesis.

Related Experiment Videos

  • Data collected on surgical time, growth arrest success, angular deformities, infection, and joint mobility.
  • Specific focus on proximal tibial physeal procedures and concurrent fibular growth.

    • Main Results:

    • Growth arrest was achieved in all 56 physes treated.
    • Average surgical time was 36 minutes per physis.
    • No instances of unplanned angular growth, deep infections, or loss of joint motion were reported.
    • No fibular overgrowth symptoms were noted in patients undergoing proximal tibial epiphyseodesis alone.

    Conclusions:

    • Percutaneous epiphyseodesis is a safe and highly effective method for achieving physeal growth arrest.
    • The minimal incision technique avoids common complications and allows for full joint motion.
    • This approach is a viable option for managing limb length discrepancies in children.