What is an Epiphysiodesis surgery?
What is an Epiphysiodesis surgery?
Epiphysiodesis is the surgical ablation of a physis to stop its future growth, generally used to correct a leg length discrepancy. Prediction of leg length discrepancy at skeletal maturity can be difficult and multiple methods have been developed to provide an estimate.
What is the difference between Hemiepiphysiodesis and Epiphysiodesis?
The corrective osteotomy is used for acute correction, while the asymmetrical epiphysiodesis is a method of gradual correction involving temporal and permanent hemiepiphysiodesis. Among the various methods, percutaneous lateral hemiepiphysiodesis (PLH) is an ablation of a selected and limited area of the growth plate.
How long is Epiphysiodesis surgery?
Hemi-epiphysiodesis surgery (in which a growth plate is used) is performed under anesthesia and generally takes about an hour. During the procedure, the surgeon will make a 1 inch incision at the growth plate, through which a titanium plate is secured to the bone with two small titanium screws.
How long does 8 plate surgery take?
Implantation of the eight-Plate System and eight-Plate Plus System is performed under anesthesia and takes about an hour. During the procedure, the surgeon will make a 2-3 cm (approximately 1”) incision at the physis of the bone to be corrected.
What is bone peg Epiphysiodesis?
Bone-Peg Epiphysiodesis This older technique popular in the 1950s and 1960s had the advantage of closing the physis quickly and thus preventing any further displacement of the slipped epiphysis. It also avoided having to use screws and pins near the joint, as well as obviating screw removal.
What is a distal femur?
The distal femur is where the bone flares out like an upside-down funnel. The distal femur is the area of the leg just above the knee joint. Distal femur fractures most often occur either in older people whose bones are weak, or in younger people who have high energy injuries, such as from a car crash.
What is an 8 plate?
To make your knee better your surgeon will perform an operation called an epiphyseodesis (‘8’ plates). Once you are asleep they will make a small cut on the side of your knee and insert a metal plate over the growth plate. This is held in place with screws.
What should I expect after guided growth surgery?
The patient is allowed to put weight on the leg immediately after surgery and will be able to return to normal activities within 2 to 3 weeks. Contact sports should be avoided for 3 weeks. There may be some swelling in the knee after the surgery, so physical therapy is recommended for a few weeks to prevent stiffness.
What is osteochondritis dissecans?
Osteochondritis dissecans is a bone and cartilage condition that most often occurs in the knee. It has no known cause, but repetitive stress on the joint, low vitamin D and a genetic predisposition are often linked to this condition.
How do you fix a distal femur fracture?
The distal femur can be fixed with metal plates and screws or intramedullary nails. If the break involves the joint or is around a total knee replacement it is usually fixed with metal plates and screws placed through incisions on the side of the leg. Surgery usually takes 1 to 2 hours.
What is a distal femur replacement?
Distal femoral replacement is an orthopaedic procedure which is most commonly associated with the sarcoma population. The distal portion of the femur (up to two thirds) is excised and replaced by a endoprosthesis incorporating a hinged total knee replacement.
