Bone bridge resection for correction of distal radial deformities after partial growth plate arrest: two cases and surgical technique

Abstract

Partial closure of the growth plate is an uncommon complication in the distal radius even though distal radial fractures are among the most common injuries in children. We report two cases of resection of a bony bridge in the distal radial growth plate in boys aged 8 and 9 years with a description of the operative technique.

Tissue engineering strategy using mesenchymal stem cell-based chitosan scafolds in growth plate surgery: A preliminary study in rabbits

“…• "wait and see" -for very small defects or in patients near skeletal maturity; • use inert materials as spacers in place of the bony or fibrous bar that is formed at the site of physeal damage when it is less than 25-30% of physis; • totally obliterating the physis and dealing with the length inequality in situations when the defect is large [3].…”

“…The extent of deformity depends on anatomical site of physis, the size and the place of damage in the physis and the growth remaining potential in the physis. Small and central locations produce less deformity than large and peripheral lesions [3]. The management possibilities for these defects include:…”

“…The bony bars produced in the physis may be removed, and then replaced by various materials to reconstitute the continuity of the growth plate [2]. The outcome of such procedures is variable, depending on the patient's age, and also size and location of the bony bar [3]. The interposition materials used for such a purpose are quite variable and are usually acting only as passive spacers.…”

Mesenchymal stem cell therapy for injured growth plate

“…Bone bridge resection coupled with the insertion of various implants, was a technique introduced in 1967, to alleviate partial closure of the growth plate (38). Since then, a variety of materials have been investigated for this purpose.…”