Excision of Physeal Bars of the Distal Femur, Proximal and Distal Tibia Followed to Maturity

Journal of Pediatric Orthopedics
Brandon J YuanH A Peterson

Abstract

In the 50 years since a premature partial physeal arrest (a physeal bar) was first excised from an epiphysis there have been no large in-depth studies reporting the results in patients followed to skeletal maturity. This paper reports the results of physeal bar resection surgery in a group of patients followed to skeletal maturity, documenting the restored growth of the affected physis, the affected bone, and the final limb-length discrepancy. Forty-eight patients underwent physeal bar resection of the distal femur (21), proximal tibia (9), and distal tibia (18) by 1 surgeon (H.A.P.) from 1968 through 1996, and were followed prospectively to skeletal maturity with clinical and radiologic examinations. Factors such as sex, age at time of injury, etiology of the bar, physeal bar location and size, age at time of bar excision, interposition material, and additional surgical procedures were analyzed with respect to physis, bone, and limb growth following bar resection. The mean growth for the entire bone following physeal bar excision was 7.6 cm for the distal femur, 4.7 cm for the proximal tibia, and 7.5 cm for the distal tibia, compared with growth in the contralateral control bone of 6.8 cm in the femur, 5.0 cm in the proximal t...Continue Reading

References

Mar 1, 1984·Journal of Pediatric Orthopedics·H A Peterson
Jun 1, 1996·Radiology·J J BorsaR L Ehman
Jul 28, 2011·The Journal of Bone and Joint Surgery. American Volume·Hamlet A Peterson
Oct 18, 2016·Journal of Pediatric Orthopedics. Part B·Hamlet A PetersonAnthony A Stans

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Citations

Sep 26, 2019·Tissue Engineering. Part C, Methods·Yangyi YuKarin A Payne
Dec 19, 2020·Current Opinion in Pediatrics·Julio de PablosLucas Arbeloa-Gutierrez

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