How does epiphysiodesis work?

An epiphysiodesis essentially slows the growth rate of the longer leg in order to allow the shorter leg to catch up. When this technique is performed in a permanent fashion, it relies on the ability to predict leg length discrepancy at maturity rather than at presentation.

What is the difference between Hemiepiphysiodesis and epiphysiodesis?

The corrective osteotomy is used for acute correction, while the asymmetrical epiphysiodesis is a method of gradual correction involving temporal and permanent hemiepiphysiodesis. Among the various methods, percutaneous lateral hemiepiphysiodesis (PLH) is an ablation of a selected and limited area of the growth plate.

What is Pan genu epiphysiodesis?

Epiphysiodesis is a pediatric orthopedic surgery procedure that aims at altering or stopping the bone growth naturally occurring through the growth plate also known as the physeal plate.

Is proximal fibula epiphysiodesis necessary when performing a proximal tibial epiphysiodesis?

Conclusions: On the basis of this study, concomitant proximal fibular epiphysiodesis does not appear to be necessary in patients with 2 years or less of growth remaining, nor does it unequivocally prevent fibular head overgrowth.

How long is epiphysiodesis surgery?

Hemi-epiphysiodesis surgery (in which a guided growth plate is used) is performed under anesthesia and generally takes about an hour. During the procedure, the surgeon will make a 1 inch incision at the growth plate, through which a titanium plate is secured to the bone with two small titanium screws.

How is Hemiepiphysiodesis done?

Typically, the child/adolescent is placed under general anesthesia for less than an hour for this minimally invasive surgery. A 1-inch (2.5-cm) incision is made, and a tension-band plate is inserted and secured with bone screws so that it straddles the growth plate.

What is physeal stapling?

Medial physeal stapling is a suitable method of treatment for both primary and secondary genu valgum in late childhood and in adolescence. At least one year of knee growth is required to achieve correction, and care is needed to avoid overcorrection of the secondary genu valgum.

What is growth plate fusion?

Growth plate fusion is a minimally invasive surgical procedure that slows or stops the growth of a bone. The procedure is done only in children, and growth can be slowed/stopped either temporarily or permanently. Growth plate fusion is also called epiphysiodesis.

What should I expect after guided growth surgery?

What happens after guided growth surgery? The patient is allowed to put weight on the leg immediately after surgery and will be able to return to normal activities within 2 to 3 weeks. Contact sports should be avoided for 3 weeks.

How long is Hemiepiphysiodesis?