Hemiepiphyseal stapling for ankle valgus in multiple hereditary exostoses.

Marc Tompkins, Craig Eberson, Michael Ehrlich

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

If left uncorrected, valgus ankle deformity in multiple hereditary exostoses can cause significant disability in skeletally immature children and in adults. Various management methods have been described, including hemiepiphyseal stapling, transphyseal screw placement, fibular-Achilles tenodesis, distal tibial osteotomy, and ablative epiphyseodesis. In this article, we report the cases of 3 skeletally immature children who had undergone hemiepiphyseal stapling of the medial distal tibial epiphysis for correction of valgus ankle deformity in multiple hereditary exostoses. Correction of the tibiotalar axis, in relation to chronological and bone age, was evaluated. Hemiepiphyseal stapling of the medial distal tibial epiphysis provides ipsilateral corrective potential while allowing staple removal for reversal of growth retardation. This procedure is useful in the management of ankle valgus in multiple hereditary exostoses.

Original languageEnglish (US)
Pages (from-to)E23-26
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume41
Issue number2
StatePublished - Feb 2012

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