by Robert M. Kay, and Susan A. Rethlefsen

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Presentation transcript:

by Robert M. Kay, and Susan A. Rethlefsen Anterior Percutaneous Hemiepiphysiodesis of the Distal Aspect of the Femur: A New Technique by Robert M. Kay, and Susan A. Rethlefsen JBJS Case Connect Volume 5(4):e95 November 11, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Robert M. Kay, and Susan A. Rethlefsen JBJS Case Connect 2015;5:e95 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-A and 1-B Anteroposterior and lateral fluoroscopic images showing appropriate positioning of guidewires for percutaneous placement of transphyseal screws. Figs. 1-A and 1-B Anteroposterior and lateral fluoroscopic images showing appropriate positioning of guidewires for percutaneous placement of transphyseal screws. The wires should cross the distal femoral physis in its anterior third. A true lateral view (typically using a cross-table technique) is mandatory to ensure appropriate hardware positioning. Robert M. Kay, and Susan A. Rethlefsen JBJS Case Connect 2015;5:e95 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Robert M. Kay, and Susan A. Rethlefsen JBJS Case Connect 2015;5:e95 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-C and 1-D Clinical photographs showing typical pin entrance sites and the “stab” incisions needed for drilling and screw insertion. Figs. 1-C and 1-D Clinical photographs showing typical pin entrance sites and the “stab” incisions needed for drilling and screw insertion. Robert M. Kay, and Susan A. Rethlefsen JBJS Case Connect 2015;5:e95 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Robert M. Kay, and Susan A. Rethlefsen JBJS Case Connect 2015;5:e95 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Robert M. Kay, and Susan A. Rethlefsen JBJS Case Connect 2015;5:e95 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Robert M. Kay, and Susan A. Rethlefsen JBJS Case Connect 2015;5:e95 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Figs. 3-A and 3-B Anteroposterior and lateral radiographs of the patient in this report made three months following anterior hemiepiphysiodesis showing appropriate hardware positioning. Figs. 3-A and 3-B Anteroposterior and lateral radiographs of the patient in this report made three months following anterior hemiepiphysiodesis showing appropriate hardware positioning. Robert M. Kay, and Susan A. Rethlefsen JBJS Case Connect 2015;5:e95 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Computerized motion analysis data for the patient in this report showing marked improvement in stance-phase knee extension during gait one year after surgery. Computerized motion analysis data for the patient in this report showing marked improvement in stance-phase knee extension during gait one year after surgery. Robert M. Kay, and Susan A. Rethlefsen JBJS Case Connect 2015;5:e95 ©2015 by The Journal of Bone and Joint Surgery, Inc.