Case: Anterior distal femoral hemiepiphysiodesis for knee flexion deformity in children is typically done using staples or plate-and-screw constructs. Staple migration and postoperative knee pain are common complications associated with these procedures. The authors describe a new technique of percutaneous epiphysiodesis using transphyseal screws (PETS) for anterior hemiepiphysiodesis of the distal aspect of the femur that was used to treat recurrent knee flexion deformity in a child with cerebral palsy who had recurrent crouch gait after hamstring lengthening.
Conclusion: The technique has the advantage of being less expensive than plate-and-screw constructs, and it has the potential for causing less postoperative knee pain.
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| http://dx.doi.org/10.2106/JBJS.CC.O.00057 | DOI Listing |
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