title: Efficacy and Safety of Percutaneous Epiphysiodesis Operation around the Knee to Reduce Adult Height in Extremely Tall Adolescent Girls and Boys.
abstract: Objective. The aim was to determine efficacy and safety of a surgical method to reduce adult height in extremely tall adolescents. Methods. Data for all girls (n = 12) and boys (n = 9) in our center subjected to bilateral percutaneous epiphysiodesis around the knee who had reached final height were included. Final height predictions were based on hand and wrist X-rays before surgery. Results. When compared to prediction, adult height was reduced by 4.1 ± 0.7 cm in treated girls (P < .001) and 6.4 ± 0.7 cm in treated boys (P < .001) corresponding to a 33.6 ± 3.4% and 33.6 ± 4.2% reduction of remaining growth, respectively. Besides mild to moderate postoperative pain reported in 9 operated individuals, no other side effects were reported. Postoperative X-rays confirmed growth plate closure and absence of leg angulations. Conclusions. Bilateral epiphysiodesis is an effective and safe method to reduce adult height in extremely tall girls and boys.
authors.affiliation: Pediatric Endocrinology Unit and Department of Women's and Children's Health, Karolinska Institutet, 171 76 Stockholm, Sweden.
authors.forename: Emelie
authors.initials: E
authors.lastname: Benyi
authors.forename: Maria
authors.initials: M
authors.lastname: Berner
authors.forename: Inger
authors.initials: I
authors.lastname: Bjernekull
authors.forename: Anders
authors.initials: A
authors.lastname: Boman
authors.forename: Dionisios
authors.initials: D
authors.lastname: Chrysis
authors.forename: Ola
authors.initials: O
authors.lastname: Nilsson
authors.forename: Anne
authors.initials: A
authors.lastname: Waehre
authors.forename: Henrik
authors.initials: H
authors.lastname: Wehtje
authors.forename: Lars
authors.initials: L
authors.lastname: Sävendahl