Robert M Kay1, Susan A Rethlefsen1. 1. Children's Orthopaedic Center, Children's Hospital Los Angeles, 4650 Sunset Boulevard, M/S 69, Los Angeles, CA 90027.
Abstract
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.
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.
Authors: Susan A Rethlefsen; Alison M Hanson; Tishya A L Wren; Oussama Abousamra; Robert M Kay Journal: J Child Orthop Date: 2020-10-01 Impact factor: 1.548