MANAGEMENT OF NEGLECTED EPIPHYSEAL INJURY.
EMAD GABER ABD AL-MAGEED;
Abstract
For management of neglected epiphyseal InJUries certain fundamental points must be clarified:
l- The nature of the initial physeal injury.
2- If the physeal injury is open or closed.
3- The location of the cleavage plane through the zones of the epiphyseal plate.
4.- The anatomical location of the epiphyseal .fracture.
5- The adequeacy of the treatment of recent epiphyseal injury.
6- The patient age at the time of injury e.g. partial or complete epiphyseal anest in the young child provides a far greater problem than that in the adolescent patient.
The methods of treatment of sequele of epiphyseal injuries are very important and includes:
I) Treatment of partial growth an•est by osseous bridge resection and implant but failure of the technique may occur, producing rebridging.
II) Correction of the angular deformity by osteotomy or epiphyseal stapling.
Ill) Epiphyseal distraction either asymmetrical distraction in angulatr deformity or symmetrical distraction in complete epiphyseal arrest.
IV) Epiphyseal transplantation either with or without blood supply the results are only experimental and have no specific indications for use except when a growth center is completely lost with the Injury.
l- The nature of the initial physeal injury.
2- If the physeal injury is open or closed.
3- The location of the cleavage plane through the zones of the epiphyseal plate.
4.- The anatomical location of the epiphyseal .fracture.
5- The adequeacy of the treatment of recent epiphyseal injury.
6- The patient age at the time of injury e.g. partial or complete epiphyseal anest in the young child provides a far greater problem than that in the adolescent patient.
The methods of treatment of sequele of epiphyseal injuries are very important and includes:
I) Treatment of partial growth an•est by osseous bridge resection and implant but failure of the technique may occur, producing rebridging.
II) Correction of the angular deformity by osteotomy or epiphyseal stapling.
Ill) Epiphyseal distraction either asymmetrical distraction in angulatr deformity or symmetrical distraction in complete epiphyseal arrest.
IV) Epiphyseal transplantation either with or without blood supply the results are only experimental and have no specific indications for use except when a growth center is completely lost with the Injury.
Other data
| Title | MANAGEMENT OF NEGLECTED EPIPHYSEAL INJURY. | Other Titles | علاج الاصابات المهملة للكردوس | Authors | EMAD GABER ABD AL-MAGEED | Issue Date | 2001 |
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