Arthritis und Rheuma 2017; 37(05): 307-314
DOI: 10.1055/s-0037-1618437
Schattauer GmbH

Prospects of growth modulation

Article in several languages: deutsch | EnglishM. Rupprecht1, 2, K. Ridderbusch1, 2, A. S. Spiro1, 2
  • 1Abteilung für Kinderorthopädie, Altonaer Kinderkrankenhaus, Hamburg
  • 2Klinik für Orthopädie, Universitätsklinikum Hamburg Eppendorf, Hamburg
Further Information

Publication History

Publication Date:
28 December 2017 (online)


Indications for an epiphyseodesis vary from knock knees, posttraumatic deformities of the upper extremity, juvenile hallux valgus to early onset scoliosis. Prerequisite for a successful therapy is residual growth. To determine the best time of epiphyseodesis, the extent of the deformity and the skeletal age of the patient must be known. If the epiphyseodesis is performed too early, the epiphy-seal plates are still wide open after fully correction and hardware removal, a rebound of the deformity may occur. If the intervention is carried out too late, the residual growth is not sufficient to completely correct the deformity.