KNEE & LEGEndoscopic-assisted epiphysiodesis technique and 20-year experienceLedesma, Justin B.a; Wang, Tianyia; Desmond, Elizabethb; Imrie, Meghana; Gamble, James G.a; Rinsky, Lawrence A.a Author Information aDepartment of Orthopaedic Surgery, Stanford Hospital and Clinics, Stanford bDepartment of Orthopaedic Surgery, Santa Clara Valley Medical Center, San Jose, California, USA Correspondence to Justin B. Ledesma, MD, Department of Orthopaedic Surgery, Stanford Hospital and Clinics, Stanford, CA, 450 Broadway Street, M/C 6342, Redwood City, CA 94063, USA Tel: +1 650 723 5643; fax: +1 650 721 3470; e-mail: [email protected] Journal of Pediatric Orthopaedics B: January 2016 - Volume 25 - Issue 1 - p 24-30 doi: 10.1097/BPB.0000000000000230 Buy Metrics Abstract The aim of the study was to describe the endoscopic-assisted epiphysiodesis technique and review our 20-year experience with it. A retrospective review of 44 patients who underwent proximal tibia and/or distal femur endoscopic-assisted epiphysiodesis was carried out. Only patients who had preoperative and postoperative scanograms with clinical follow-up of at least 6 months were included. The mean length of follow-up was 36.8 months. All patients had radiographic evidence of physeal fusion within 6–12 months from the index procedure. No patient required revision surgery. Endoscopic-assisted epiphysiodesis is safe, effective, and achieves predictable physeal fusion. Advantages over current techniques include reduced radiation exposure and lack of requirement for hardware placement. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.