title: Endoscopically aided physeal bar takedown and guided growth for the treatment of angular limb deformity.
abstract: The treatment of physeal arrest after infection remains a challenge. This report describes localized endoscopic epiphysiolysis combined with guided growth in the treatment of partial physeal arrest and limb deformity in an infant after infection. Over a year's time, the valgus was corrected and the plate was removed. The patient returned to full activity. Physeal arrest may occur at anytime after physeal trauma, highlighting the importance of long-term follow-up. Endoscopic physeal bar takedown combined with guided growth of the distal femur can be an effective option for the treatment.
authors.affiliation: Department of Orthopaedics and Sports Medicine, University of Washington School of Medicine, Seattle Children's Hospital, Washington, USA.
authors.forename: Erik K
authors.initials: EK
authors.lastname: Loraas
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Schmale
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017760:Bone Malalignment / Q000382:microbiology / Q000601:surgery*; D001861:Bone Regeneration; D004724:Endoscopy / Q000379:methods*; D004839:Epiphyses, Slipped / Q000601:surgery; D006132:Growth Plate / Q000254:growth & development / Q000601:surgery*; D048091:Guided Tissue Regeneration / Q000379:methods*; D006801:Humans; D007223:Infant; D008297:Male; D010019:Osteomyelitis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D020127:Recovery of Function; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents