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An experimental study was conducted to determine the feasibility of using percutaneous drilling and pneumatic burring under image intensification to effect premature closure of the distal femoral epiphyseal plate in immature New Zealand white rabbits. Serial roentgenograms were made before the animals were killed at 6 or 10 weeks to document leg length inequality as compared with the contralateral leg following the procedure. Microscopic examination of nonoperated and operated epiphyseal plate revealed complete arrest of the operated epiphysis with bone fusion at the epiphyseal plate in eight of the nine rabbits. Since this animal study, 13 children have undergone percutaneous epiphysiodesis. Roentgenographically, all the growth plates appeared fused following the procedure. However, complete growth arrest cannot be substantiated until skeletal maturity. This is a preliminary report of a procedure that needs further documentation.
S T Canale, and
T A Russell, and
R L Holcomb
November 1984,
Clinical orthopaedics and related research,
S T Canale, and
T A Russell, and
R L Holcomb
January 1991,
The Journal of bone and joint surgery. British volume,
S T Canale, and
T A Russell, and
R L Holcomb
September 1978,
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
S T Canale, and
T A Russell, and
R L Holcomb
January 1998,
Cranio : the journal of craniomandibular practice,
S T Canale, and
T A Russell, and
R L Holcomb
January 1987,
International angiology : a journal of the International Union of Angiology,
S T Canale, and
T A Russell, and
R L Holcomb
February 2003,
Saudi medical journal,
S T Canale, and
T A Russell, and
R L Holcomb
January 1996,
Journal of pediatric orthopedics,
S T Canale, and
T A Russell, and
R L Holcomb
February 2007,
The Journal of trauma,
S T Canale, and
T A Russell, and
R L Holcomb
January 1975,
Minerva cardioangiologica,
S T Canale, and
T A Russell, and
R L Holcomb
September 2008,
Journal of pediatric orthopedics,
