Abstract
Congenital or acquired limb deformities in skeletally immature patients may be corrected with reversible hemiepiphysiodesis or “guided growth”. This involves temporary surgical implantation of an extra-periosteal implant which tethers one side of a growing physis. This fulcrum retards longitudinal physeal growth on the implanted side, allowing for preferential growth on the opposite. Multiple generations of implants have evolved for this purpose, and currently, the tension-band plate construct is the most widely used, most biomechanically sound, and does not involve direct trauma to the physis.
| Original language | English (US) |
|---|---|
| Article number | 100876 |
| Journal | Operative Techniques in Orthopaedics |
| Volume | 31 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jun 1 2021 |
Bibliographical note
Funding Information:The research is supported by the National Laboratory for Aeronautics and Astronautics at Beihang University and the August-Wilhelm Scheer Visiting Professor Program at Technical University of Munich.
Publisher Copyright:
© 2021 Elsevier Inc.
Keywords
- genu valgum
- genu varum
- leg length discrepancy