Epiphyseolysis for partial growth plate arrest. Results after four years or at maturity

Author:

Broughton NS1,Dickens DR1,Cole WG1,Menelaus MB1

Affiliation:

1. Department of Orthopaedics, Royal Children's Hospital, Victoria, Australia.

Abstract

We reviewed 13 children with partial growth plate arrest who had been treated by epiphyseolysis. Eight were followed to skeletal maturity and five for at least four years. In three cases the affected limb was restored to normal and in five the operation was successful in improving angular deformity and leg length discrepancy such that further surgery was not necessary. In the five failures, angular deformity had progressed or limb length discrepancy had increased. There were no significant complications and the procedure did not prevent subsequent osteotomy or limb length equalisation. Epiphyseolysis was most effective for small bars and those affecting only the central area of the plate.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

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