Efficacy and safety of percutaneous epiphysiodesis

Journal of Pediatric Orthopedics
Muharrem InanJ Richard Bowen

Abstract

The aims of this study were to evaluate outcomes of percutaneous epiphysiodesis, as described by Bowen, in 97 patients and to assess complications and determine whether the effect of the epiphysiodesis will accurately follow the Moseley chart predictions. A total of 97 patients were reviewed retrospectively. Fifty-six girls and 41 boys, with a mean skeletal age of 12.6 years (range, 10-16 years) at the time of operation, were followed up until skeletal maturity, a mean of 3.8 years (range, 1-10 years). The mean residual leg length discrepancy (LLD) in 88 patients at maturity was 1.3 cm (range, 0-3.5 cm). In 9 patients, the epiphysiodesis was combined with a femoral lengthening or femoral shortening. The residual leg length discrepancy in these 9 patients was 3.3 cm at maturity (range, 0-6.5 cm). Minor complications including knee effusion (n = 2), superficial wound infection (n = 1), and exostosis (n = 3) occurred in 6 patients. Failure of the epiphysiodesis was the only major complication seen (n = 3). This study shows that complications are infrequent when performing percutaneous epiphysiodesis and that the Moseley straight-line method accurately and efficaciously predicted the timing for percutaneous epiphysiodesis in all bu...Continue Reading

References

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Citations

Mar 23, 2010·International Orthopaedics·György SzokeJ Richard Bowen
Dec 21, 2010·Current Opinion in Pediatrics·Ismat GhanemRoger F Widmann
May 16, 2013·Orthopedics·Albert Martin PendletonMan Hung
Jul 3, 2013·The Bone & Joint Journal·S C LeeK R Ko
Aug 23, 2016·Journal of Pediatric Orthopedics·Marina R MakarovJohn G Birch
Jul 31, 2019·Journal of Pediatric Orthopedics. Part B·Alexander NazarethRobert M Kay
Sep 3, 2010·The Journal of the American Academy of Orthopaedic Surgeons·Neil Saran, Karl E Rathjen
Dec 4, 2016·Journal of Children's Orthopaedics·Peter M Stevens
Feb 11, 2012·The Journal of Bone and Joint Surgery. British Volume·B IlharrebordeK Mazda
Oct 16, 2015·Journal of Pediatric Orthopedics. Part B·Justin B LedesmaLawrence A Rinsky
Oct 13, 2020·Journal of Pediatric Orthopedics·Jonathan BoyleJohn G Birch
Nov 2, 2019·Orthopaedics & Traumatology, Surgery & Research : OTSR·Pierre Journeau

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