title: Electrical stimulation of the growth plate: a potential approach to an epiphysiodesis.
abstract: Epiphysiodesis is an operative procedure that induces bony bridges to form across a growth plate of a bone to stop longitudinal growth. This is a very common orthopedic procedure to correct disproportional long-bone growth discrepancies; however, present techniques require an operation and anesthesia. Our study was designed to develop a minimally invasive method of epiphysiodesis by using electrical stimulation with DC current. In a rabbit model, a thin titanium electrode was inserted into a single location of the distal femoral growth plate in three groups: one without current (control), one group with a constant 10 microA (low current, LC), and one group with a 50 microA (high current, HC). The current was delivered for 2 weeks. The nontreated femur served as a control for each animal. Femur lengths were measured and comparisons were made between operated (left) and nonoperated (right) femurs. Digitized histomorphometric and volumetric analyses were performed on each growth plate, and detailed assessments were made of any morphological changes. Using length measurements, the difference in femur length was significantly larger in the HC group and not in the LC or control groups, showing bone growth inhibition at the higher current. In the HC group, bony bridges and disorganized growth plates were observed. This study shows that delivery of an electrical current of 50 microA for as little as 2 weeks can markedly affect bone growth as evidenced by changes in epiphyseal plate volume and architectural organization, and the study supports the use of this minimally invasive approach as a potential method of achieving an epiphysiodesis.
authors.affiliation: Bone & Cartilage Research Laboratory, Nemours Biomedical Research, & Department of Orthopaedics, Alfred I. duPont Hospital for Children, Nemours Children's Clinic, Wilmington, Delaware. gdodge@nemours.org
authors.forename: George R
authors.initials: GR
authors.lastname: Dodge
authors.forename: J Richard
authors.initials: JR
authors.lastname: Bowen
authors.forename: Chang-Wug
authors.initials: CW
authors.lastname: Oh
authors.forename: Keti
authors.initials: K
authors.lastname: Tokmakova
authors.forename: Bruce J
authors.initials: BJ
authors.lastname: Simon
authors.forename: Alaric
authors.initials: A
authors.lastname: Aroojis
authors.forename: Kristen
authors.initials: K
authors.lastname: Potter
mesh_terms: D000818:Animals; D004307:Dose-Response Relationship, Radiation; D004558:Electric Stimulation / Q000379:methods*; D004599:Electric Stimulation Therapy / Q000379:methods*; D005240:Feasibility Studies; D005269:Femur / Q000166:cytology / Q000254:growth & development* / Q000528:radiation effects*; D006132:Growth Plate / Q000166:cytology / Q000254:growth & development* / Q000528:radiation effects*; D011817:Rabbits; D011829:Radiation Dosage