[Percutaneous epiphyseodesis for treating limb length inequality in children --results after termination of growth].
Results of percutaneous epiphyseodesis for limb length egalization in 25 children (10 girls and 15 boys) after termination of growth are presented. Mean age at the surgery was 12.9 years (range 10.9-14.4 years), mean limb length discrepancy 4.3 cm (range 2-10 cm), mean follow-up was 50 months (range 14-86 months). In 17 cases distal femoral epiphyseodesis was done, in 7 cases distal femoral, proximal tibial and fbular and in 1 case only proximal tibial and fibular epiphyseodesis was performed. In 13 cases CT served to assess the area of removed physis. Among complications knee hemarthrosis was encountered twice and once subcutaneous hematoma of the lower leg occurred. At the final follow-up full range of motion in the knee and correct axial alignment was observed in all cases. Residual limb length discrepancy was 1.3 cm (range 0-4 cm). Between 20 and 60% of total area of the physis was destroyed. Yearly rate of femoral bone growth inhibition was the same in patients with 27% and 40% of physis removed.
Lejman
T
T
Klinika Chirurgii Dzieciecej, Polsko-Amerykański Instytut Pediatrii Wydziału Lekarskiego UJ w Krakowie.
Sułko
J
J
Kotulski
D
D
D000293:Adolescent; D001174:Arthrodesis / Q000009:adverse effects; D002675:Child, Preschool; D004838:Epiphyses / Q000601:surgery*; D005260:Female; D005269:Femur / Q000254:growth & development* / Q000601:surgery; D005360:Fibula / Q000254:growth & development* / Q000601:surgery; D005500:Follow-Up Studies; D006395:Hemarthrosis / Q000209:etiology; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007719:Knee Joint; D007870:Leg Length Inequality / Q000601:surgery*; D008297:Male; D013977:Tibia / Q000254:growth & development* / Q000601:surgery; D016896:Treatment Outcome