Epiphysiodesis

Epiphysiodesis

Epiphysiodesis (pronounced: eh-pi-fiz-ee-oh-dee-sis) is a surgical procedure used to halt the growth of a long bone in a growing child. This procedure is typically performed to correct a significant difference in limb length.

Etymology

The term "Epiphysiodesis" is derived from the Greek words "epiphysis," which refers to the end part of a long bone, and "desis," which means binding or to bind.

Procedure

During an Epiphysiodesis, the surgeon removes a small piece of the growth plate, which is also known as the Epiphyseal plate, from the longer limb. This procedure is typically performed through small incisions using arthroscopic techniques. The growth plate is responsible for the lengthening of bones in children and adolescents. By removing a portion of it, the surgeon can slow or stop the growth of that bone, allowing the shorter limb to catch up in length.

Indications

Epiphysiodesis is indicated for children with significant limb length discrepancies due to conditions such as congenital anomalies, infections, tumors, and trauma. It is also used in cases of precocious puberty where early closure of the growth plates can lead to short stature.

Complications

Like any surgical procedure, Epiphysiodesis carries risks, including infection, blood clots, and potential damage to surrounding structures. There is also the risk that the procedure will not fully correct the limb length discrepancy, or that it could overcorrect the problem, leading to the treated limb being shorter than the other.

Related Terms

• Epiphysis
• Epiphyseal plate
• Arthroscopy
• Congenital anomalies
• Infections
• Tumors
• Trauma
• Precocious puberty
• Blood clots

External links

• Medical encyclopedia article on Epiphysiodesis
• Wikipedia's article - Epiphysiodesis

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