title: Guided Growth With Temporary Hemiepiphysiodesis to Treat Ankle Valgus in a Skeletally Immature Individual: A Case Report.
abstract: Guided growth is useful in correcting pediatric angular deformities. Ankle valgus is a coronal plane deformity and is often seen in skeletally immature patients with congenital or acquired lower extremity pathologic features. Temporary hemiepiphysiodesis with a percutaneous transphyseal medial malleolar screw is a surgical treatment capable of correcting the angular deformity and can offer effective correction. In the present case study, a 12-year-old male with dorsal-lateral peritalar subluxation and ankle valgus underwent a reconstructive procedure and temporary hemiepiphysiodesis with a percutaneous medial malleolar screw. After removal of the screw, reduction of his peritalar subluxation was achieved, improving his lateral-distal tibial angle from 81° preoperatively to 89° at the final follow-up examination. The patient returned to his preoperative sporting activities and ambulated comfortably and pain free in sneakers with orthotics. In conclusion, temporary hemiepiphysiodesis with a transphyseal medial malleolar screw is an effective treatment option for ankle valgus in a skeletally immature individual.
authors.affiliation: Chief, Department of Podiatric Medicine and Surgery, Geisinger Community Medical Center, Scranton, PA; Residency Director, Geisinger Community Medical Center, Scranton, PA; and Fellowship Director, Northeast Regional Foot and Ankle Institute Limb Salvage and Reconstructive Surgery, Scranton, PA.
authors.forename: Guido A
authors.initials: GA
authors.lastname: LaPorta
authors.affiliation: Podiatrist, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, PA. Electronic address: mmsusek@geisinger.edu.
authors.forename: Mehgan M
authors.initials: MM
authors.lastname: Susek
mesh_terms: D000843:Ankle Joint / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D001860:Bone Plates; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D004838:Epiphyses / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005532:Foot Deformities, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006128:Growth; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011859:Radiography / Q000379:methods; D000068958:Return to Sport; D018570:Risk Assessment; D016896:Treatment Outcome
keywords: epiphysiodesis; lateral distal tibial angle; medial malleolar screw; pediatric