Of the patients that underwent greater trochanteric epiphysiodesis
at initial surgery, only two patients (5.4%) developed a complication.
Questions 11 and 12 asked for other methods to maintain limb-length equality including epiphysiodesis
. Finally, to check consistency, there were three case scenarios based on osteosarcoma patients aged 6.5,8, and 10.5 years.
During ossification, calumniated cartilaginous cells with poor tensile strength transiently replace the fibrocartilage, predisposing the tibial tuberosity to traction injury just before or during the later stages of physiologic epiphysiodesis
However, Gage and Cary have reported that trochanteric epiphysiodesis
did not significantly affect the final shape of proximal femur at the six-year follow-up (16).
, or osteotomies can correct issues in older children; however, treatment is more difficult in younger patients .
Complications concerning fracture healing were documented as follows: refracture, epiphysiodesis
, malunion, delayed union, and non-union which occurred within 6 months after the fracture.
(0.71 for the distal femur, 0.57 for the proximal tibia) to predict LLD is acceptable for a child who has undergone epiphysiodesis
,[sup], but whether these values are equally applicable in predicting LLD of a child who has undergone limb salvage surgery is questionable.
in Macrodactyly: Macrodactyly is a congenital condition, which may impede the development of normal gait.
Limb length discrepancies greater than 1 inch are treated with epiphysiodesis
(growth plate arrest) of the longer leg; early treatment of ankle deformities may prevent further deterioration of function.
Some authors prefer stapling over epiphysiodesis
because it allows a certain amount of flexibility of timing .
A discrepancy or a valgus deformity can be corrected with epiphysiodesis
. "Remember this option," Dr.
or ablation of the physis is the most common surgery Dr.