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Nonmetallic Anterior Hemiepiphysiodesis of the Distal Femur with a Low-Profile, Pretensioned Implant: A Case Report. | LitMetric
Case : A 14-year-old adolescent boy with left-sided spastic hemiplegic cerebral palsy presented with a 14° left knee flexion contracture and resultant gait disturbance in the setting of an open distal femoral physis. He underwent subsequent anterior distal femur hemiepiphysiodesis with a suture anchor-based, nonmetallic implant. He achieved full correction at the 1-year follow-up and underwent uncomplicated implant removal.Conclusion : A low-profile, suture-based implant used for pediatric knee flexion deformity may allow surgeons to control growth in a reversible fashion by tensioning the physis while possibly avoiding some of the complications associated with currently used implants.
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