Anterior Percutaneous Hemiepiphysiodesis of the Distal Aspect of the Femur: A New Technique: A Case Report. Issue 4 (11th November 2015)

• Record Type: Journal Article
• Authors: Kay, Robert M.; Rethlefsen, Susan A.
• Is Part Of: JBJS case connector. Volume 5:Issue 4(2015)
• Publication Date: 2015-11-11
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.O.00057
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: : Anterior distal femoral hemiepiphysiodesis for knee flexion deformity in children is typically done using staples or plate‐and‐screw constructs. Staple migration and postoperative knee pain are common complications associated with these procedures. The authors describe a new technique of percutaneous epiphysiodesis using transphyseal screws (PETS) for anterior hemiepiphysiodesis of the distal aspect of the femur that was used to treat recurrent knee flexion deformity in a child with cerebral palsy who had recurrent crouch gait after hamstring lengthening. Conclusion: : The technique has the advantage of being less expensive than plate‐and‐screw constructs, and it has the potential for causing less postoperative knee pain.