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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 11, 1502-1507.
doi: 10.1302/0301-620X.88B11.17730  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Radiostereometric analysis for monitoring percutaneous physiodesis

A PRELIMINARY STUDY

H. Lauge-Pedersen, MD, PhD, Orthopaedic Surgeon1; G. Hägglund, MD, PhD, Orthopaedic Surgeon1; and R. Johnsson, MD, PhD, Orthopaedic Surgeon1

1 Department of Orthopaedics, Lund University Hospital, S-22185 Lund, Sweden.

Correspondence should be sent to Dr H. Lauge-Pedersen; e-mail: Henrik.Lauge-Pedersen{at}ort.lu.se

Percutaneous physiodesis is an established technique for treating mild leg-length discrepancy and problems of expected extreme height. Angular deformities resulting from incomplete physeal arrest have been reported, and little is known about the time interval from percutaneous physiodesis to actual physeal arrest. This procedure was carried out in ten children, six with leg-length discrepancy and four with expected extreme height. Radiostereometric analysis was used to determine the three-dimensional dynamics of growth retardation. Errors of measurement of translation were less than 0.05 mm and of rotation less than 0.06°.

Physeal arrest was obtained in all but one child within 12 weeks after physiodesis and no clinically-relevant angular deformities occurred.

This is a suitable method for following up patients after percutaneous physiodesis. Incomplete physeal arrest can be detected at an early stage and the procedure repeated before corrective osteotomy is required.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General