Radiographic outcomes of hemiepiphyseal stapling for distal radius deformity due to multiple hereditary exostoses

Jason P. Kelly, Michelle James

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Background: Multiple hereditary exostoses (MHE) affect the distal forearm in 30% to 60% of patients with this condition. Many surgical interventions have been described, but treatment is controversial. We present the radiographic results of low risk, minimally invasive hemiepiphyseal stapling of the distal radius to correct the joint angulation caused by MHE through growth modulation. Methods: A retrospective review was performed on 18 forearms affected by MHE that underwent radial hemiepiphyseal stapling with follow-up of ≤2 years. The radial articular angle, carpal slip, ulnar tilt, lunate subsidence, and metaphyseal epiphyseal angle were measured on preoperative and final postoperative radiographs and compared. Results: Statistically significant (P

Original languageEnglish (US)
Pages (from-to)42-47
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume36
Issue number1
DOIs
StatePublished - 2016
Externally publishedYes

Keywords

  • Angulation
  • Distal forearm
  • Distal radius
  • Growth modulation
  • Guided growth
  • Hemiepiphyseal
  • MHE
  • Multiple hereditary exostoses
  • Radiographic
  • Treatment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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