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Partial physeal growth arrest treated by bridge resection and artificial dura substitute interposition

Inoue, Toshioa; Naito, Masatoshia; Fujii, Toshiob; Akiyoshi, Yuichiroa; Yoshimura, Ichiroa; Takamura, Kazuyukib

Journal of Pediatric Orthopaedics B: January 2006 - Volume 15 - Issue 1 - p 65-69

We treated four cases of partial physeal growth arrest by resecting the bone bridge and interposing an expanded polytetrafluoroethylene membrane, which has minimal tissue response. We evaluated three cases with sufficiently long follow-up. No apparent recurrence of the bone bridge and no limb length discrepancy occurred in any of the cases. No remodeling after the operation occurred. In one case, which underwent this operation and corrective osteotomy of the proximal tibia, slight recurrence of the varus deformity occurred which was detected only by radiographs, and did not compromise the alignment of the leg. There were no complications.

aDepartment of Orthopaedic Surgery, Fukuoka University School of Medicine

bDepartment of Orthopaedic Surgery, Fukuoka Children's Hospital, Fukuoka, Japan

Correspondence and requests for reprints to Dr T. Inoue, Department of Orthopaedic Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan

Tel: +81 92 801 1011 ext 3465; fax: +81 92 864 9055;


© 2006 Lippincott Williams & Wilkins, Inc.