title: Endoscopic-assisted epiphysiodesis: technique and 20-year experience.
abstract: The aim of the study was to describe the endoscopic-assisted epiphysiodesis technique and review our 20-year experience with it. A retrospective review of 44 patients who underwent proximal tibia and/or distal femur endoscopic-assisted epiphysiodesis was carried out. Only patients who had preoperative and postoperative scanograms with clinical follow-up of at least 6 months were included. The mean length of follow-up was 36.8 months. All patients had radiographic evidence of physeal fusion within 6-12 months from the index procedure. No patient required revision surgery. Endoscopic-assisted epiphysiodesis is safe, effective, and achieves predictable physeal fusion. Advantages over current techniques include reduced radiation exposure and lack of requirement for hardware placement.
authors.affiliation: aDepartment of Orthopaedic Surgery, Stanford Hospital and Clinics, Stanford bDepartment of Orthopaedic Surgery, Santa Clara Valley Medical Center, San Jose, California, USA.
authors.forename: Justin B
authors.initials: JB
authors.lastname: Ledesma
authors.forename: Tianyi
authors.initials: T
authors.lastname: Wang
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Desmond
authors.forename: Meghan
authors.initials: M
authors.lastname: Imrie
authors.forename: James G
authors.initials: JG
authors.lastname: Gamble
authors.forename: Lawrence A
authors.initials: LA
authors.lastname: Rinsky
mesh_terms: D002648:Child; D004724:Endoscopy / Q000379:methods*; D004838:Epiphyses / Q000601:surgery; D005260:Female; D005269:Femur / Q000002:abnormalities / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007870:Leg Length Inequality / Q000601:surgery*; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013977:Tibia / Q000002:abnormalities / Q000601:surgery