Are percutaneous epiphysiodesis and Phemister technique effective in the treatment of leg-length discrepancy - A systematic review

New Publication in Journal of Paediatric Orthopaedics B
Epiphysiodesis is considered the preferred treatment for children predicted to have leg length discrepancies (LLDs) 2–5 cm at maturity. Most used techniques for permanent epiphysiodesis are percutaneous epiphysiodesis (PE) with drills/curettes and Phemister/modified Phemister technique.

The aim of this study was to systematically review the existing literature on the effectiveness of permanent epiphysiodesis for LLD treatment, and secondarily to address the reported complications of permanent epiphysiodesis techniques.

Our findings: Total successful permanent epiphysiodesis surgeries (16 studies) were 73.7% (516/700). In total, 17.5% (513/2936) of complications were reported. 57 angular deformities were reported (1.9%). 

The high complication rates and the relative low success rate call for optimization of the timing and the applied techniques when treating LLD with permanent epiphysiodesis. 

Phemister technique was found to have higher percentage of severe complications than PE.


Contact: Maria Tirta