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Physeal surgery: indications and operative treatment
J T Guille1, A Yamazaki, J R Bowen
1Department of Orthopaedic Surgery, Allegheny University Hospitals, Philadelphia, Pennsylvania, USA.
Summary
Recent advances in surgical techniques for growth plate problems are reviewed. This article updates readers on the evaluation and operative management of physeal injuries and conditions affecting limb growth.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Skeletal development
Background:
- Growth plate (physis) injuries are common in children.
- Management of physeal disturbances requires specialized knowledge.
- Advances in surgical techniques have improved outcomes.
Purpose of the Study:
- To provide an update on recent advances in the evaluation and surgical treatment of growth plate problems.
- To review fundamental concepts related to physeal disturbances.
- To inform readers about current operative techniques for correcting growth-related issues.
Main Methods:
- Review of radiographic evaluation methods for extremity problems.
- Detailed discussion of key physeal operative techniques.
- Synthesis of recent literature on growth plate surgery.
Main Results:
- The evaluation and surgical treatment of growth plate problems have evolved.
- Current techniques offer improved correction of physeal issues.
- Radiographic assessment remains crucial for diagnosis and planning.
Conclusions:
- Staying updated on growth plate surgery is essential for orthopedic surgeons.
- Advances in operative techniques enhance the management of physeal disturbances.
- Accurate radiographic evaluation is fundamental to successful surgical intervention.