Endoscopic Physeal Bar Resection Combined with Guided Growth using Local Fat Graft Interposition and Post-Operative CT Assessment for the Treatment of Genu Valgus: a case report
Distal femur physeal arrest due to physeal bar formation with progressive deformities is an unwanted complication following injury to the femur. Various techniques of physeal bar resection, either using open techniques or endoscopic methods, have been described in the available literature. The asso...
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| Format: | Article |
| Language: | English |
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Dow University of Health Sciences
2022-06-01
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| Series: | Journal of the Dow University of Health Sciences |
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| Online Access: | https://www.jduhs.com/index.php/jduhs/article/view/1646 |
| _version_ | 1797817619595657216 |
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| author | Mohd Anuar Ramdhan Bin Ibrahim Faris Indra Prahasta Bin Didi Indra |
| author_facet | Mohd Anuar Ramdhan Bin Ibrahim Faris Indra Prahasta Bin Didi Indra |
| author_sort | Mohd Anuar Ramdhan Bin Ibrahim |
| collection | DOAJ |
| description |
Distal femur physeal arrest due to physeal bar formation with progressive deformities is an unwanted complication following injury to the femur. Various techniques of physeal bar resection, either using open techniques or endoscopic methods, have been described in the available literature. The associated angular deformities could be addressed either with osteotomy in acute correction or gradual correction with an external fixator or guided growth principle. We would like to recommend the use of fat tissues from the surgical wound used for the guided growth and evaluation of the recurrence of the physeal bar via computed tomography in our case. To our knowledge there is no previous reports using similar approach. We shall share case of a severely comminuted distal femoral physeal injury Salter-Harris IV complicated with central physeal bar causing growth disturbance and angular knee deformity treated via endoscopic resection surgery and simultaneous 8-plate insertion for which has shown a good radiological and functional outcome.
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| first_indexed | 2024-03-13T08:56:11Z |
| format | Article |
| id | doaj.art-34c5340df84a4cac8fce1a4eef5b8582 |
| institution | Directory Open Access Journal |
| issn | 1995-2198 2410-2180 |
| language | English |
| last_indexed | 2024-03-13T08:56:11Z |
| publishDate | 2022-06-01 |
| publisher | Dow University of Health Sciences |
| record_format | Article |
| series | Journal of the Dow University of Health Sciences |
| spelling | doaj.art-34c5340df84a4cac8fce1a4eef5b85822023-05-29T03:09:21ZengDow University of Health SciencesJournal of the Dow University of Health Sciences1995-21982410-21802022-06-01162Endoscopic Physeal Bar Resection Combined with Guided Growth using Local Fat Graft Interposition and Post-Operative CT Assessment for the Treatment of Genu Valgus: a case reportMohd Anuar Ramdhan Bin Ibrahim0Faris Indra Prahasta Bin Didi Indra1Faculty of Medicine and Health Sciences, University Malaysia Sarawak, 43000 Kota Samarahan, Sarawak, Malaysia.Faculty of Medicine and Health Sciences, University Malaysia Sarawak, 43000 Kota Samarahan, Sarawak, Malaysia. Distal femur physeal arrest due to physeal bar formation with progressive deformities is an unwanted complication following injury to the femur. Various techniques of physeal bar resection, either using open techniques or endoscopic methods, have been described in the available literature. The associated angular deformities could be addressed either with osteotomy in acute correction or gradual correction with an external fixator or guided growth principle. We would like to recommend the use of fat tissues from the surgical wound used for the guided growth and evaluation of the recurrence of the physeal bar via computed tomography in our case. To our knowledge there is no previous reports using similar approach. We shall share case of a severely comminuted distal femoral physeal injury Salter-Harris IV complicated with central physeal bar causing growth disturbance and angular knee deformity treated via endoscopic resection surgery and simultaneous 8-plate insertion for which has shown a good radiological and functional outcome. https://www.jduhs.com/index.php/jduhs/article/view/1646endoscopic physeal bar resectionguided growthEndoscopic Physeal Bar ResectionGenu ValgusDistal Femoral Physeal Injury |
| spellingShingle | Mohd Anuar Ramdhan Bin Ibrahim Faris Indra Prahasta Bin Didi Indra Endoscopic Physeal Bar Resection Combined with Guided Growth using Local Fat Graft Interposition and Post-Operative CT Assessment for the Treatment of Genu Valgus: a case report Journal of the Dow University of Health Sciences endoscopic physeal bar resection guided growth Endoscopic Physeal Bar Resection Genu Valgus Distal Femoral Physeal Injury |
| title | Endoscopic Physeal Bar Resection Combined with Guided Growth using Local Fat Graft Interposition and Post-Operative CT Assessment for the Treatment of Genu Valgus: a case report |
| title_full | Endoscopic Physeal Bar Resection Combined with Guided Growth using Local Fat Graft Interposition and Post-Operative CT Assessment for the Treatment of Genu Valgus: a case report |
| title_fullStr | Endoscopic Physeal Bar Resection Combined with Guided Growth using Local Fat Graft Interposition and Post-Operative CT Assessment for the Treatment of Genu Valgus: a case report |
| title_full_unstemmed | Endoscopic Physeal Bar Resection Combined with Guided Growth using Local Fat Graft Interposition and Post-Operative CT Assessment for the Treatment of Genu Valgus: a case report |
| title_short | Endoscopic Physeal Bar Resection Combined with Guided Growth using Local Fat Graft Interposition and Post-Operative CT Assessment for the Treatment of Genu Valgus: a case report |
| title_sort | endoscopic physeal bar resection combined with guided growth using local fat graft interposition and post operative ct assessment for the treatment of genu valgus a case report |
| topic | endoscopic physeal bar resection guided growth Endoscopic Physeal Bar Resection Genu Valgus Distal Femoral Physeal Injury |
| url | https://www.jduhs.com/index.php/jduhs/article/view/1646 |
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