Efficacy of the treatment of the leg length discrepancy with epiphysiodesis

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Efficacy of the treatment of the leg length discrepancy with epiphysiodesis

Journal Title: Postępy Nauk Medycznych - Year 2012, Vol 25, Issue 6

Abstract

&lt;b&gt;Introduction.&lt;/b&gt; Material presents the outcome of the treatment of the lower limb discrepancy (LLD) with epiphysiodesis using Phemister, Blount&amp;rsquo;s and Metaizeau techniques.&lt;br&gt;&lt;b&gt;Materials and methods. &lt;/b&gt;The study included 51 patients, with mean age 12 years and 6 months (from 9 years, 4 months to 15 years, 4 months), who underwent epiphysiodesis with different techniques due to LLD with the mean value 3.9 cm (2.0-11.5), with different etiology. Mean follow-up was 6 years and 6 months.&lt;br&gt;Kemnitz and Campens classification based on clinical measurement of LLD was used to assess the outcome of the treatment.&lt;br&gt;&lt;b&gt;Results.&lt;/b&gt; Good result was obtained in 74.5% of the patients, fair result in 5.9% and bad result in other 19.6%. The mean final LLD was 1.8 cm. The group in which the epiphysiodesis was performed only on the femur got greater correction and better outcome than the group in which the epiphysiodesis was performed only on the tibia. The most common complication was valgus deformity, occurred in 5 patients (9.8%).&lt;br&gt;&lt;b&gt;Conclusions. &lt;/b&gt;The greatest efficiency of the epiphysiodesis is obtained in patients with their femur blocked. Axial deformity is the most common complication of this treatment.

Authors and Affiliations

Anna Fryzowicz, Paweł Koczewski

Keywords

leg length discrepancy epiphysiodesis surgical treatment Phemister technique Blount\'s stapling Metaizeau technique efficacy

EP ID EP54477
DOI -
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