Anterior Percutaneous Hemiepiphysiodesis of the Distal Aspect of the Femur: A New Technique. Issue 4 (October 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: 2015-10
• 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.