Epiphysiodesis

Epiphysiodesis is a surgical procedure aimed at correcting limb length discrepancies in children and adolescents. It involves the selective fusion or slowing down of the growth plate in the longer limb to allow the shorter limb to catch up.

This procedure is typically recommended for patients who have a significant difference in leg length that is affecting their quality of life.

If your child is experiencing limb length inequality due to growth plate injuries or other conditions, it is essential to consult with a pediatric orthopedic surgeon to discuss the best treatment options, including Epiphysiodesis surgery.

Indications of Epiphysiodesis

Epiphysiodesis is commonly recommended for children and adolescents who have a significant limb length discrepancy, typically greater than 2-2.5 cm.

This procedure is often performed when the child has reached the majority of their skeletal growth but still has a noticeable difference in leg lengths.

  • The main indication for Epiphysiodesis is to equalize leg lengths and improve the child's gait and overall function.
  • Growth plate injuries, congenital abnormalities, or other orthopedic conditions can lead to limb length discrepancies that may require Epiphysiodesis surgery.

Steps involved in Epiphysiodesis Surgery

Epiphysiodesis surgery is a minimally invasive procedure that involves selectively fusing or slowing down the growth plate in the longer limb to allow the shorter limb to catch up.

  • The surgeon makes a small incision near the growth plate in the longer limb.
  • The growth plate is either partially removed or slowed down using techniques such as drilling, ablation, or placement of implants.
  • The incision is closed, and the limb is immobilized with a cast or brace to allow for proper healing.

The entire procedure usually takes about 1-2 hours, and most patients can go home the same day or the next day after surgery.

Who will perform Epiphysiodesis Surgery?

Epiphysiodesis surgery is typically performed by a pediatric orthopedic surgeon who specializes in the treatment of musculoskeletal conditions in children and adolescents.

These surgeons have extensive training and experience in diagnosing and treating growth plate injuries, limb length discrepancies, and other pediatric orthopedic conditions.

Before undergoing Epiphysiodesis surgery, it is essential to consult with a pediatric orthopedic surgeon to discuss the procedure, potential risks, expected outcomes, and post-operative care.

Preparing for Epiphysiodesis Surgery

Before undergoing Epiphysiodesis surgery, your child will need to undergo a thorough pre-operative evaluation to ensure they are healthy enough for the procedure.

  • Blood tests and imaging studies to assess bone growth and the extent of the limb length discrepancy.
  • Consultation with an anesthesiologist to discuss anesthesia options and any potential risks.
  • Pre-operative instructions, such as fasting before surgery and avoiding certain medications that may interfere with the procedure.

It is essential to follow all pre-operative instructions provided by your child's healthcare team to ensure a successful surgery and smooth recovery.

Recovery after Epiphysiodesis surgery

After Epiphysiodesis surgery, your child will need to follow specific post-operative instructions to promote healing and reduce the risk of complications.

  • Wearing a cast or brace to immobilize the limb and protect the surgical site.
  • Physical therapy to improve range of motion, strength, and function in the affected limb.
  • Follow-up appointments with the surgeon to monitor healing progress and address any concerns.

Most children can return to school and normal activities within a few weeks after Epiphysiodesis surgery, but it may take several months for the full effects of the procedure to be realized.

Before and After Epiphysiodesis surgery

Before undergoing Epiphysiodesis surgery, it is essential to have realistic expectations about the outcomes of the procedure. While Epiphysiodesis can help equalize limb lengths and improve function, it may not completely eliminate all differences in leg lengths.

After Epiphysiodesis surgery, your child may experience some pain, swelling, and stiffness in the affected limb. This is normal and can be managed with pain medication, rest, and physical therapy.

It is essential to follow all post-operative instructions provided by your child's healthcare team to ensure a successful recovery and optimal outcomes from Epiphysiodesis surgery.

Epiphysiodesis surgery is a safe and effective treatment option for children and adolescents with limb length discrepancies.

By working closely with a pediatric orthopedic surgeon and following all pre-operative and post-operative instructions, your child can achieve improved limb function and quality of life.

If your child is experiencing growth plate injuries or limb length inequalities, consider discussing Epiphysiodesis surgery as a potential treatment option with your healthcare provider.

 

Frequently Asked Questions

What is epiphysiodesis surgery?

Epiphysiodesis surgery is a procedure to slow down or stop the growth of the longer leg in children with a significant leg length discrepancy.

How does epiphysiodesis affect bone growth?

Epiphysiodesis is a surgical procedure that involves slowing or stopping the growth of the long bones by disrupting the growth plate. This can help correct differences in leg length or angular deformities by allowing the shorter limb to catch up in growth.

How long does recovery take after epiphysiodesis surgery?

Recovery after epiphysiodesis surgery typically takes about 4-6 weeks, but it can vary depending on individual factors and the extent of the procedure.

What are the risks associated with epiphysiodesis surgery?

The risks associated with epiphysiodesis surgery include infection, blood clots, nerve damage, and potential for over- or under-correction of limb length discrepancy.

Can epiphysiodesis be done on children with growth plate issues?

Yes, epiphysiodesis can be performed on children with growth plate issues to help manage uneven leg length or angular deformities.

How soon after epiphysiodesis surgery can a child resume physical activity?

Your child can usually resume physical activities like light walking a few days after epiphysiodesis surgery. Make sure to follow your doctor's instructions for a safe recovery.

What is the success rate of epiphysiodesis surgery?

Epiphysiodesis surgery is successful in about 80-90% of cases in slowing or halting bone growth to correct limb length discrepancies.

Can epiphysiodesis prevent future growth problems?

Yes, epiphysiodesis can help correct unequal leg lengths in children by slowing or stopping the growth of the longer leg, allowing the shorter leg to catch up.

How does epiphysiodesis correct limb length discrepancies?

Epiphysiodesis is a surgical procedure that involves slowing down or stopping the growth of the longer limb to allow the shorter limb to catch up, correcting the limb length discrepancy over time.

Are there any long-term effects after epiphysiodesis surgery?

After epiphysiodesis surgery, some possible long-term effects may include limb length discrepancy, joint pain, or the need for additional surgeries as the child grows.