Results of screw epiphysiodesis for the treatment of limb ... | 合法醫療器材資訊網

由JGKhoury著作·2007·被引用100次—Resultsofscrewepiphysiodesisforthetreatmentoflimblengthdiscrepancyandangulardeformity.JPediatrOrthop.2007Sep;27(6):623-8.doi:10.1097/ ...

The purpose of this study was to evaluate the technique of screw epiphysiodesis for effectiveness, predictability, and reversibility. We reviewed the cases of our first 60 patients (105 physes) treated with percutaneous screw epiphysiodesis or hemiepiphysiodesis. All cases were followed up to maturity or screw removal if growth remained after full correction. A total of 30 patients underwent the procedure for limb length inequality. Final inequality was compared with the predicted epiphysiodesis effect. A total of 30 patients (66 physes) underwent screw hemiepiphysiodesis for the correction of angular deformity. The degree of correction per month was calculated, the reversibility of the procedure was analyzed, and complications were evaluated. In the length group, at the end of treatment, the final limb length difference in the femur averaged 0.15 cm (SD, +/-0.37 cm) from the epiphysiodesis effect predicted by using...