ARREST of epiphysiodiaphysial growth, or epiphyseodesis, was originally described by Phemister1 in January 1933, having been proposed as a method of obtaining equalization of leg length in growing children. This procedure involves the removal of a block of bone 3 cm. in length and 1.5 cm. in width from across the epiphysial line. This block is about 0.5 cm. deep. After removal of the block of bone the epiphysial line is curetted for a distance of 2 to 5 cm. lateralward and about 10 to 15 mm. in depth. It is the experience of Hatcher that stripping of the periphery of the epiphysial line is sufficient and that deep curettement is unnecessary. The block of bone is then turned end on end and reinserted, so that a bony bridge covers the epiphysial line (fig. 1B).
There have naturally arisen modifications of the original technic. Philip Wilson2 went
HODGEN JT, FRANTZ CH. ARREST OF GROWTH OF THE EPIPHYSES. Arch Surg. 1946;53(6):664–674. doi:10.1001/archsurg.1946.01230060675006
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: