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Minimal invasive epiphysiodesis using a modified "Canale"-technique for correction of angular deformities and limb leg length discrepancies


Ramseier, L E; Sukthankar, A; Exner, G U (2009). Minimal invasive epiphysiodesis using a modified "Canale"-technique for correction of angular deformities and limb leg length discrepancies. Journal of Children's Orthopaedics, 3(1):33-37.

Abstract

PURPOSE: Leg length discrepancy and angular deformities can, in contrast to adults; easily be corrected with epiphysiodesis during growth. Goal of this study was to evaluate our results of a modified Canale technique for definitive epiphysiodesis treating leg length discrepancy and also angular deformities. METHODS: Between 2000 and 2007, 22 patients (11 boys and 11 girls) were subjected to definitive epiphysiodesis. In total 73 hemiepiphysiodesis were performed (26 proximal tibial, 47 distal femoral). RESULTS: All patients could be followed to the end of growth. Mean follow-up was 32.2 month (range 13-76 months). In 20 patients the epiphysiodesis was planed to correct axis and leg length discrepancy. In two patients' contralateral epiphysiodesis was performed to avoid further leg length discrepancy because of closed physis of the shorter affected side. A staged procedure was necessary in nine patients to achieve the best possible correction. No complications were seen such as wound healing, knee-joint contractures after epiphysiodesis of the distal femur and proximal tibia. In two patients three rehemiepiphysiodesis because of not fully closure of the physis had to be done. CONCLUSION: Definitive epiphysiodesis using this modified Canale technique is a safe, minimal invasive method to correct leg length discrepancy and angular deformities if preoperative planning is performed properly.

Abstract

PURPOSE: Leg length discrepancy and angular deformities can, in contrast to adults; easily be corrected with epiphysiodesis during growth. Goal of this study was to evaluate our results of a modified Canale technique for definitive epiphysiodesis treating leg length discrepancy and also angular deformities. METHODS: Between 2000 and 2007, 22 patients (11 boys and 11 girls) were subjected to definitive epiphysiodesis. In total 73 hemiepiphysiodesis were performed (26 proximal tibial, 47 distal femoral). RESULTS: All patients could be followed to the end of growth. Mean follow-up was 32.2 month (range 13-76 months). In 20 patients the epiphysiodesis was planed to correct axis and leg length discrepancy. In two patients' contralateral epiphysiodesis was performed to avoid further leg length discrepancy because of closed physis of the shorter affected side. A staged procedure was necessary in nine patients to achieve the best possible correction. No complications were seen such as wound healing, knee-joint contractures after epiphysiodesis of the distal femur and proximal tibia. In two patients three rehemiepiphysiodesis because of not fully closure of the physis had to be done. CONCLUSION: Definitive epiphysiodesis using this modified Canale technique is a safe, minimal invasive method to correct leg length discrepancy and angular deformities if preoperative planning is performed properly.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Clinic for Surgery
04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:February 2009
Deposited On:28 Oct 2009 08:41
Last Modified:05 Apr 2016 13:30
Publisher:Springer
ISSN:1863-2521
Additional Information:The original publication is available at www.springerlink.com
Publisher DOI:https://doi.org/10.1007/s11832-008-0155-4
PubMed ID:19308610

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