Percutaneous Epiphysiodesis Using Transphyseal Screws (PETS)

Metaizeau, J. P.; Wong-Chung, John; Bertrand, Hélène; Pasquier, Philippe

doi:10.1097/01241398-199805000-00018

Cited by 195 publications

(195 citation statements)

References 10 publications

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“…It has been shown that current methods of outcome estimation of physiodesis yield significant uncertainty [8,9]. Several complications have been described with use of Blount staples for treating both angular deformities and LLD [2,[10][11][12][13][14][15]. A new device, introduced by Dr. Peter M. Stevens [16] and commonly referred to as the Eight plate, has, in many centres, replaced Blount staples for treating angular deformities in the lower limb, with good results.…”

Section: Introductionmentioning

confidence: 99%

Eight plate should not be used for treating leg length discrepancy

Lauge-Pedersen

Hägglund

2013

Journal of Children's Orthopaedics

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Purpose The Blount staple has been widely used for treating angular deformities and leg length discrepancy (LLD) of the lower limbs. In recent years, the Eight plate has replaced the Blount staple for treating angular deformities in many centres. Although not described in the literature, it has been proposed that the Eight plate could also be used for treating LLD. We studied the effectiveness of the device for this indication. Methods Ten patients with LLD were included prospectively. Medial and lateral plates were inserted for symmetrical growth reduction and the patients were followed by radiostereometric analysis (RSA) 0, 3, 6, 9, 12, 24, 52 and 80 weeks postoperatively. The error of measurement with this technique is less than 0.05 mm. Results Case 1 continued to grow an average of 0.08 mm per week (6.7 mm longitudinal growth in 1.5 years) postoperatively, while Case 2 showed 0.07 mm longitudinal growth per week (5.6 mm longitudinal growth in 1.5 years). The longitudinal growth, in both children, showed only slight growth retardation throughout the follow-up period. The study was interrupted and no further subjects were included after the results indicated that only minor growth reduction had occurred in both patients. Conclusion The Eight plate does not significantly reduce growth when applied both medially and laterally in a symmetrical way at the proximal tibial physis.

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Section: Introductionmentioning

confidence: 99%

Eight plate should not be used for treating leg length discrepancy

Lauge-Pedersen

Hägglund

2013

Journal of Children's Orthopaedics

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“…Subsequent advancements in surgical techniques have included the development of percutaneous methods for achieving epiphysiodesis [3,4,9,12]. Bowen and Johnson [3] described ablation of the growth plate using a curette under fluoroscopic guidance, and Canale et al [4] described a technique using a cannulated reamer and a burr to obliterate the physis.…”

Section: Introductionmentioning

confidence: 99%

“…Epiphysiodesis is among the most widely used methods for limb-length equalization in growing children with projected limb-length discrepancies at maturity as much as 5 or 6 cm [7,9,11,20]. Phemister [14] introduced the concept of open surgical epiphysiodesis in 1933.…”

Section: Introductionmentioning

confidence: 99%

“…Radiographic obliteration of the physis and subsequent limb-length equalization have been used with these percutaneous ablative surgical techniques [1, 5-7, 13, 15, 20]. Surgical complications have included failure of growth arrest [4,20], incomplete growth arrest with angular deformity [7,9,20], and postoperative knee effusion [5,6,15]. In most patients undergoing percutaneous ablative epiphysiodesis, surgeons recommend protected weightbearing between 1 and 6 weeks postoperatively and restriction from return to athletics for variable lengths of time.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous Radiofrequency Epiphysiodesis in a Rabbit Model: A Pilot Study

Widmann

Amaral

Yıldız

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background Techniques for epiphysiodesis have evolved from open surgical techniques requiring direct observation of the physis to percutaneous techniques performed with fluoroscopy. Questions/purposes Our purposes were to (1) describe a new minimally invasive surgical technique used to achieve epiphysiodesis using radiofrequency ablation, (2) document the effect of radiofrequency ablation on tibia length at 2, 6, and 12 weeks after ablation in a skeletally immature rabbit model, and (3) assess the effects of radiofrequency ablation on the histologic appearance of the proximal tibia physis and proximal tibia articular cartilage. Materials and Methods We performed epiphysiodesis of the rabbit proximal tibia on 15 skeletally immature male New Zealand White rabbits using a 22-gauge radiofrequency probe. The probe was positioned percutaneously and heated to 90°C for 4 minutes on the medial and lateral 1 .

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“…Most surgical techniques are based on a progressive correction with an asymmetrical epiphyseodesis of the medial side of the distal femoral growth plate. Previously published techniques of permanent epiphysiodesis rely on destruction of the medial femoral growth plate by means of percutaneous curettage, drilling or screws [4][5][6][7][8][9][10]. Phemister's technique is now considered as obsolete [11].…”

Section: Introductionmentioning

confidence: 99%

Epiphyseal stapling of the proximal tibia for idiopathic genu valgum

Courvoisier

Eid

Merloz

2009

Journal of Children's Orthopaedics

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Purpose The purpose of this study is to evaluate the clinical and radiological outcomes of hemiepiphysiodesis with a single medial staple of the proximal tibia in idiopathic genu valgum angular correction. Methods A retrospective review was performed identifying nine adolescents (18 knees) treated for idiopathic adolescent genu valgum by means of a bilateral hemiepiphysiodesis with a single staple of the proximal tibia. The intermalleolar distance (IMD) and hip-knee-ankle angle were measured at skeletal maturity. Results The IMD and hip-knee-ankle angle were reduced in all patients at skeletal maturity. Conclusion Hemiepiphysiodesis with a single medial staple of the proximal tibia seems to be a reliable and safe alternative method to achieve correction of an idiopathic genu valgum.

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Percutaneous Epiphysiodesis Using Transphyseal Screws (PETS)

Cited by 195 publications

References 10 publications

Eight plate should not be used for treating leg length discrepancy

Eight plate should not be used for treating leg length discrepancy

Percutaneous Radiofrequency Epiphysiodesis in a Rabbit Model: A Pilot Study

Epiphyseal stapling of the proximal tibia for idiopathic genu valgum

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