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Journal of Long-Term Effects of Medical Implants
SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2014008304
pages 121-129

Hemiepiphysiodeses for Guided Growth in Children

Dimitrios Dovris
Andreas F. Mavrogenis
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece
Ioannis Christogiannis
First Department of Orthopaedics, Athens University Medical School, Athens, Greece
George Nomikos
Department of Orthopaedics, General Hospital of Chios, Chios, Greece
Kleo Papaparaskeva
Second Department of Orthopaedics, Athens University Medical School, Athens, Greece
Dimitrios Koulalis
First Department of Orthopaedics, Athens University Medical School, Athens, Greece
Apostolos Papalois
Experimental Research Center ELPEN, Athens, Greece
Andreas Karameris
Department of Pathology, NIMTS Hospital, Athens, Greece
George C. Babis
National & Kapodistrian University of Athens, School of Medicine, 2nd Orthopaedic Department, Konstantopouleio Hospital, Nea Ionia, 14233, Athens, Greece

ABSTRACT

Lower-extremity angular deformities are among the most common non-traumatic conditions in children being referred to pediatric orthopedists. Understanding of this abnormality and knowledge of current treatment is essential for pediatricians and primary caregivers. A development in the surgical management of these problems has improved the quality of care of affected children and adolescents. Traditionally, angular deformities are treated by means of osteotomy. In patients who are skeletally immature, this major intervention can be avoided by influencing or guiding the growth of the affected physis using hemiepiphysiodesis techniques. Recently, alternative surgical techniques and implants have been described for improved control of the guided growth.