[Corrective orthopedic surgery following injury to the epiphyses adjacent to the knee joint (author's transl)].
Epiphyseal lesions adjacent to the knee joint may result in disturbances of growth with subsequent changes of leg length and knee axis. Both conditions involving the weight-bearing lower extremities call for correction. Knowledge of the epiphysis' pathophysiology, the case history, and the actual situation compared to the contralateral extremity is the basis of management along with the command of physiologically reasonable as well as technically feasible operations. Final normalisation may be achieved by static correction using modern internal fixation techniques and bone grafts once growth is terminated. Serious axis deviations and leg length discrepancies exceeding 10 degrees and 3 centimeters respectively should, however, be corrected, even if growth is still in progress. It may be possible to eliminate the cause of deformation by removing an epiphysiodesis. Methods to accelerate growth have not been useful clinically. Temporary deceleration of growth by means of epiphyseal staples is justified in certain cases provided close follow-up is possible. Static correction as outlined will also produce the most dependable results if growth is still in progress.
D004838:Epiphyses / Q000503:physiopathology; D004839:Epiphyses, Slipped / Q000503:physiopathology / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006801:Humans; D007717:Knee / Q000000981:diagnostic imaging / Q000503:physiopathology; D007718:Knee Injuries / Q000601:surgery*; D008722:Methods; D011859:Radiography
Korrektureingriffe nach Epiphysenverletzungen im Bereich des Kniegelenkes.