Epiphysiodesis in the management of limb length inequality

Air Physiogram: Technique for Visualization of the Resected Physis in Percutaneous Epiphysiodesis

“…Numerous studies suggest that all of these methods are effective and have low morbidity and high success rates. 2, [8][9][10] Nonetheless, incomplete or asymmetric growth arrests do occur, resulting in a failure of the epiphys-iodesis and sometimes angular deformation. 2,8 Some disagreement exists over how much of the physis must be removed to ensure growth arrest.…”

Epiphysiodesis Using a Cannulated Tubesaw

“…1 Ideally, the velocity of growth 2 and the patterns of discrepancy 3,4 should be assessed by charting longitudinal growth in the leg or the arm. 5,6 When the child is seen late, accurate charting and prediction are difficult to achieve, although the method of White and Stubbins, 7 refined by Westh and Menelaus,8 usually proves to be reliable. The method of epiphysiodesis described by Phemister in 1933 9 relies upon rotation of bone blocks at either side of the growth plate together with curettage.…”

Epiphysiodesis Using A Cannulated Tubesaw

“…1 Ideally, the velocity of growth 2 and the patterns of discrepancy 3,4 should be assessed by charting longitudinal growth in the leg or the arm. 5,6 When the child is seen late, accurate charting and prediction are difficult to achieve, although the method of White and Stubbins, 7 refined by Westh and Menelaus, usually proves to be reliable. The method of epiphysiodesis described by Phemister in 1933 9 relies upon rotation of bone blocks at either side of the growth plate together with curettage.…”