Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Femur epiphysiodesis and altered biomechanics

Discussion in 'Biomechanics, Sports and Foot orthoses' started by jocelyn, Apr 10, 2012.

  1. jocelyn

    jocelyn Welcome New Poster


    Members do not see these Ads. Sign Up.
    Hi
    I'm looking for advice.
    13 year old female with Hemihypertrophy causing overgrowth to left tibia. Epiphysiodesis at 11 years using eight plates to the femur distal growth plate, to correct a 2-3cm limb length discrepancy. Plates were removed earlier this year as growth plates had fully developed. As expected the left knee is now 2.5cm higher than right knee but as the limb length discrepancy diminished the left knee has developed hyperextension which now measures 10 degrees of hyperextension. The surgeon has suggested this has been caused by damage to the growth plate on plate removal and that posterior growth at distal femur is faster than anterior growth. A medial/lateral knee x ray showed some growth plate still available and yet x ray from anterior knee earlier this year showed no growth plate. Surgeon is suggesting further eight plates to posterior distal femur to stop growth and allow anterior distal femur to catch up which will take a year. I am concerned about the clinical picture the two different x rays have shown as there may not be enough growth to allow the surgery to work and also whether or not hyperextension would be expected in someone with different position knees.
     
Loading...

Share This Page