AI Article Synopsis
- The correction of angular deformities in children's legs is an important part of paediatric orthopaedics that utilizes the growth potential of the bones.
- Hemiepiphysiodesis (HED) is a surgical method that can slow down growth in a specific area of the growth plate to help correct misalignments.
- New techniques and improved devices for temporary HED have led to better outcomes and fewer complications, and some experimental methods may achieve similar results without surgery.
Article Abstract
The correction of angular deformities of the lower limb is a key task in paediatric orthopaedic surgery. The growth potential of the physis can be employed for the correction of these malalignments in childhood and adolescence. Hemiepiphysiodesis (HED) is a surgical technique used for growth modulation by permanent or temporary asymmetrical arrest of the growth plate. In permanent HED, exact timing of the procedure is mandatory to achieve optimal correction. Temporary HED through tension band devices such as two-hole-plates or flexible staples has been established as the treatment of choice for growth guidance with excellent results. Implant-associated complications have been significantly reduced through implant modifications. Several experimental procedures have the potential to achieve growth modulation even without the requirement of surgical intervention.
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| http://dx.doi.org/10.1007/s00132-021-04122-8 | DOI Listing |
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