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A Challenging Case of a Physeal Bar Endoscopic-Assisted Resection in a Short Stature Child: Case Report and Literature Review
Case Reports in Orthopedic Research Pub Date : 2021-06-10 , DOI: 10.1159/000516769
Melanie Ribau , Mário Baptista , Nuno Oliveira , Bruno Direito Santos , Pedro Varanda , Ricardo Maia

Partial physeal bars may develop after injury to the growth plate in children, eventually leading to disturbance of normal growth. Clinical presentation, age of the patient, and the anticipated growth will dictate the best treatment strategy. The ideal treatment for a partial physeal bar is complete excision to allow growth resumption by the remaining healthy physis. There are countless surgical options, some technically challenging, that must be weighted according to each case’s particularities. We reviewed the current literature on physeal bars while reporting the challenging case of a short stature child submitted to a femoral physeal bar endoscopic-assisted resection with successful growth resumption. This case dares surgeons to consider all options when treating limb length discrepancy, such as the endoscopic-assisted resection which might offer successful results.
Case Rep Orthop Res 2021;4:115–120


中文翻译:

一个具有挑战性的矮小儿童骨骺条内镜辅助切除术:病例报告和文献复习

儿童生长板损伤后可能会形成部分骺条,最终导致正常生长受到干扰。临床表现、患者年龄和预期生长将决定最佳治疗策略。部分骺条的理想治疗是完全切除,以允许剩余的健康骺恢复生长。有无数的手术选择,其中一些在技术上具有挑战性,必须根据每个病例的特殊性进行加权。我们回顾了当前关于骨骺条的文献,同时报告了一个身材矮小儿童接受股骨骺条内窥镜辅助切除术并成功恢复生长的挑战性案例。这个案例让外科医生在治疗肢体长度差异时考虑所有选择,
案例代表 Orthop Res 2021;4:115–120
更新日期:2021-06-10
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