Leg length inequality and epiphysiodesis: Review of 96 cases Journal Article


Authors: Surdam, J. W.; Morris, C. D.; DeWeese, J. D.; Drvaric, D. M.
Article Title: Leg length inequality and epiphysiodesis: Review of 96 cases
Abstract: A retrospective analysis of 96 patients who underwent an epiphysiodesis procedure for leg length discrepancy was performed. Forty patients were identified who had an open Phemister-type epiphysiodesis. Fifty-six patients underwent a percutaneous epiphysiodesis procedure. All patients' medical records and radiographs were reviewed for complications. No angular deformities or epiphysiodesis failures occurred in the open group; however, one deep infection requiring intravenous antibiotics and serial surgical debridement was successfully treated. Five complications occurred in the percutaneous group. The complications included two superficial infections, two failures of physeal arrest, and one postoperative angular deformity. The occurrence of complications in the two groups was not statistically significant. Regular follow-up and radiographic evaluation of patients who have undergone a percutaneous epiphysiodesis is essential. Failure of physeal arrest and angular deformities are rare in this patient population, but they can occur.
Keywords: adolescent; child; school child; antibiotic agent; antibiotic therapy; debridement; surgical technique; treatment failure; retrospective studies; major clinical study; review; infection; retrospective study; postoperative complication; complications; radiography; orthopedic procedures; percutaneous; leg length inequality; deformity; humans; human; priority journal; epiphyses; epiphysiodesis; phemister
Journal Title: Journal of Pediatric Orthopaedics
Volume: 23
Issue: 3
ISSN: 0271-6798
Publisher: Lippincott Williams & Wilkins  
Date Published: 2003-05-01
Start Page: 381
End Page: 384
Language: English
DOI: 10.1097/00004694-200305000-00020
PUBMED: 12724605
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 25 September 2014 -- Source: Scopus
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  1. Carol Morris
    79 Morris