Reduction of excessive height in boys by bilateral percutaneous epiphysiodesis around the knee.

Autor: Odink, Roelof J., Gerver, Willem Jan, Heeg, Minne, Rouwé, Catrienus W., Bakker van Waarde, Willie M., Sauer, Pieter J., Rouwé, Catrienus W, van Waarde, Willie M Bakker
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Zdroj: European Journal of Pediatrics; Jan2006, Vol. 165 Issue 1, p50-54, 5p, 2 Charts, 1 Graph
Abstrakt: Unlabelled: In this study, the results of percutaneous epiphysiodesis as a surgical method to decrease final height is described in 15 boys with a predicted final height of more than 205 cm. A total of 17 boys with a height prediction between 195 and 209 cm without treatment were included as controls. The study period was from 1995-2002 and patients were followed for a mean period of 3.9 years (range 2.3-6.5 years) after surgery; controls were followed for 8.3 years (range 2.0-12.1 years). Final height in the treated boys was 203.6 cm (range 195.5-214.5 cm) compared to the predicted height of 210.6 cm (range 205.7-222.7 cm). The reduction in final height versus the predicted height was 7 cm and ranged between 1.2 and 13.8 cm. Final height in the control boys was 199.9 cm (range 191.3-206.7 cm). No significant side-effects of epiphysiodesis were observed. Besides final height reduction, epiphysiodesis resulted in normalisation of body proportions, expressed as the subischial leg length/sitting height ratio. This ratio in the operated patients at final height was 0.96 (range 0.90-1.01) and in the controls 0.94 (range 0.88-1.03).Conclusion: Epiphysiodesis can be advised as a method to decrease final height in boys with predicted tall stature. An additional advantage of this method is a normalisation of body proportions. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index