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2013, Number 4

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Ortho-tips 2013; 9 (4)

Techniques for epiphysiodesis, from A to Z

Ramírez S, González AOC
Full text How to cite this article

Language: Spanish
References: 7
Page: 240-249
PDF size: 270.78 Kb.


Key words:

Epiphysiodesis, deformity, angular, physis, correction.

ABSTRACT

There are multiple procedures involved epiphyseal function; however, the epiphysiodesis have shown higher effectiveness in handling techniques epiphyseal function as the brake is performed throughout the physis (symmetrical braking) or only in one part there of (asymmetric braking) will ensure a shortening or angular deformity of the bone spoken; this correction can be temporary or permanent; with asymmetric braking can correct a defect angular and symmetrical braking slowdown in growth in length of the limb. The requirement to carry out this procedure is that the patient is skeletally immature. In this article we will focus on describe the various techniques for epiphysiodesis, either temporarily or permanently in order to be a practical method of consultation for the reader. We shall not dwell in detail tables predictive value of growth is an issue other interesting and extensive, and is crucial to the success or failure of corrective treatment.


REFERENCES

  1. Julio de Pablos. Deformidades angulares de las extremidades inferiores en la edad infantil y adolescencia. Principios de valoración y toma de decisiones. 2a. ed. Cirujano Ortopédico. Hospital de Navarra y Hospital San Juan de Dios, Profesor Clínico Asociado. Facultad de Medicina. Universidad de Navarra Pamplona.

  2. Phemister DB. Operative arrestment of longitudinal growth of bones in the treatment of deformities. J Bone Joint Surg Am. 1933; 15: 1-15.

  3. Bowen JR, Leahey JL, Zhang ZH, MacEwen GD. Partial epiphysiodesis at the knee to correct angular deformity. Clin Orthop Relat Res. 1985; 198: 184-190.

  4. Blount WP, Clarke GR. Control of bone growth by epiphyseal stapling: a preliminary report. J Bone Joint Surg Am. 1949; 31 (3): 464-478.

  5. Metaizeau JP, Wong-Chung J, Bertrand H, Pasquier P. Percutaneous epiphysiodesis using transphyseal screws (PETS). J Pediatr Orthop. 1998; 18 (3): 363-369.

  6. Stevens PM. Guided growth for angular correction: a preliminary series using a tension band plate. J Pediatr Orthop. 2007; 27 (3): 253-259.

  7. Saran N, Rathjen KE. Guided growth for the correction of pediatric lower limb angular deformity. J Am Acad Orthop Surg. 2010; 18 (9): 528-536.




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C?MO CITAR (Vancouver)

Ortho-tips. 2013;9