What is an epiphysiod's?
Epifysation is a child surgery performed in a child, which has one leg longer than the other. This disorder is referred to as the irregularity of the length of the limbs (LLD). If the limbs length is sufficiently serious to disrupt walking or cause other skeletal deformities, it should be repaired before the child achieves maturity.
Long bones in children who continue to grow, have an area called the pipe plate at each end. The epipheseal plate is made of cartilage cells that can be quickly split and allow the bones to spread to length. This board is known as a metaphysis in the bone area, where bones grow. In skeletal maturity, the epiphysheal board solidifies into the bone and any growth stops. Epifysiodesis is performed for handling the epipheseal plate before reaching maturity to slow down the growth of the foot that is longer.
For the diagnosis of a child with LLD, the doctor would first have to perform a complete physical test and the patient's history. Mocking should bedone with the legs to see if one leg is shorter than the other. This is often done by placing objects of known thickness, such as books, under one foot of the patient until the pelvis is on the level. X -rays along the entire length, while the child stands, would also show the difference in the length of the legs. Other imaging tests such as computer tomography (CT) or magnetic resonance imaging (MRI) can help diagnostics.
Surgery is usually performed in children with a difference of at least 1 inch (2-2.5 cm) in the length of the legs. Epifysiodiosis can be performed in patients with a difference in leg length of 2 inches (5 cm) or less. Correction of the limb length may be somewhat demanding because the doctor must predict the amount of bone growth that still occurs in each patient. The aim of the epiphysiodesis is to slow down the growth of longer legs and give a shorter foot time to grow and catch up.
EpifysiodEze was first developed as an open surgery. This operation is performed while the patient is under general anesthesia and requires a hospital stay for up to one week. To perform this procedure, the physician cuts, usually in the knee area, and the bone turns to destroy the epipheseal plate. Patients are then obliged to wear a casting for three to four weeks and on the affected leg for four to six weeks.
Percutaneous epiphysiodesis has been developed as a less invasive alternative. On each side of the knee, a small cut and a drill are made and the leashes are used to scrape the epiphysis plate. The patient still has to wear a cast, but exercise carrying weights can start shortly after surgery.
complete recovery from surgery can take from eight to 12 weeks. Patients should report any complications or signs of infection. Monitoring of Adelka's growth will have to be done until the child reaches skeletal maturity.