Abstract 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 References 1. Phemister, D. B.: Operative Treatment of Longitudinal Growth of Bones in the Treatment of Deformities , J. Bone & Joint Surg. 15:1 ( (Jan.) ) 1933. 2. Wilson, P. D., and Thompson, T. C.: A Clinical Consideration of the Methods of Equalizing Leg Length , Ann. Surg. 110:992 ( (Dec.) ) 1939. 3. White, J. W., and Stubbins, S. G., Jr.: Growth Arrests for Equalizing Leg Lengths , J. A. M. A. 126:1146 ( (Dec. 30) ) 1944. 4. White, J. W.: A Practical Graphic Method of Recording Leg Length Discrepancy , South. Med. J. 33:946 ( (Sept.) ) 1940. 5. White, J. W., and Warner, W. P., Jr.: Experiences with Metaphyseal Growth Arrests , South. Med. J. 31:411 ( (April) ) 1933. 6. Haas, S. L.: Retardation of Bone Growth by a Wire Loop , J. Bone & Joint Surg. 28:25 ( (Jan.) ) 1945. 7. Blount, W. P.: Personal communication to the authors. 8. Baldwin, B. T.: Physical Growth of Children from Birth to Maturity , in Studies in Child Welfare , Iowa City, University of Iowa, 1921, vol. 1, no. 1. 9. Gill, G. G.: The Cause of Discrepancy in Length of the Limbs Following Tuberculosis of the Hip in Children: Arrest of Growth from Premature Closure of the Epiphyseal Cartilages About the Knee , J. Bone & Joint Surg. 26:272 ( (April) ) 1944 10. A Simple Roentgenographic Method for the Measurement of Bone Length: A Modification of Milliwee's Method of Slit Scanography , Gill J. Bone & Joint Surg. 27:767 ( (Oct.) ) 1944. 11. Gill, G. G., and Abbott, L. C.: Practical Method of Predicting Growth of the Femur and Tibia in the Child , Arch. Surg. 45:286 ( (Aug.) ) 1942. 12. Straub, L. R.; Thompson, T. C., and Wilson, P. D.: The Result of Epiphyseodesis and Femoral Shortening in Relation to Equalization of Limb Length , J. Bone & Joint Surg. 27:254 ( (April) ) 1945. 13. Todd, T. N.: Atlas of Skeletal Maturation (Hand) , St. Louis, C. V. Mosby Company, 1937.
Archives of Surgery – American Medical Association
Published: Dec 1, 1946