title: Distal tibial physeal bridge: a complication from a tension band plate and screw construct. Report of a case.
abstract: We report on a case of a tension band plate and screw construct (Eight Plate) used over the anterior distal tibia in an 9-year-old girl in an attempt to induce recurvatum of the ankle joint to correct a recalcitrant equinus deformity. With growth of the distal tibial physis, the epiphyseal screw was drawn through the physis into the distal tibial metaphysis, resulting in the creation of a transphyseal bony bar. Caution should be exercised when attempting temporary hemiepiphyseodesis using a plate and screw construct in small epiphyses or in an osteopenic bone.
authors.affiliation: Department of Orthopaedic Surgery, Children's Hospital Central California, Madera, California, USA.
authors.forename: Jon E
authors.initials: JE
authors.lastname: Oda
authors.forename: Mihir M
authors.initials: MM
authors.lastname: Thacker
mesh_terms: D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods; D001860:Bone Plates / Q000009:adverse effects*; D001863:Bone Screws / Q000009:adverse effects*; D002370:Casts, Surgical; D002648:Child; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000601:surgery*; D020878:Device Removal; D004838:Epiphyses / Q000254:growth & development; D005260:Female; D005500:Follow-Up Studies; D006132:Growth Plate / Q000254:growth & development; D006801:Humans; D018889:Ilizarov Technique; D054850:Osteophyte / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011859:Radiography; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013977:Tibia / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome