Epiphysiodesis surgery, also known as growth plate fusion, is a surgical procedure aimed at slowing down or stopping the growth of a bone. It is commonly performed in children and adolescents who have significant differences in limb lengths or angular deformities due to growth discrepancies between bones. This informational sheet aims to provide an overview of what to expect before, during, and after epiphysiodesis surgery.
During epiphysiodesis surgery, the surgeon makes a small incision near the growth plate of the bone or bones that need to be slowed down or halted in their growth. The growth plate, also known as the epiphyseal plate, is responsible for bone growth during childhood and adolescence. By disrupting or removing part of the growth plate, the surgeon can control the rate of growth in that particular bone, allowing for more balanced limb lengths or correction of angular deformities over time.
There are multiple ways of performing this surgery which Dr Shales will discuss with you. Typically the technique involves drilling and scraping out of the growth plate through small incisions. However, sometimes screws may be required.
Before undergoing epiphysiodesis surgery, patients will undergo a thorough evaluation by Dr Shales. This may include physical examinations, imaging studies, and laboratory tests to assess the extent of the growth discrepancy and overall health. Patients will receive specific instructions regarding fasting before surgery and may need to discontinue certain medications that can increase the risk of bleeding.
After the surgery, patients are monitored closely in a recovery area until they are fully awake from anaesthetic. Pain management strategies, such as medications and ice packs, are provided to minimise discomfort. Most patients can expect to go home on the same day as the surgery, although some may require an overnight stay in the hospital for observation.
Physiotherapy and rehabilitation play a crucial role in the recovery process following epiphysiodesis surgery. Patients will work with a physiotherapist to regain strength, flexibility, and mobility in the affected limb. The rehabilitation program may include exercises to improve range of motion, balance, and functional activities tailored to each patient's individual needs
As with any surgical procedure, epiphysiodesis surgery carries certain risks and potential complications. These may include:
- Infection
- Bleeding
- Nerve injury
- Failure to arrest growth
- Rare instances of growth arrest in adjacent bones.
Patients should discuss these risks with their surgeon and address any concerns before proceeding with the surgery.
The outcomes of epiphysiodesis surgery can vary depending on several factors, including the patient's age, the severity of the growth discrepancy, and the accuracy of the surgical technique. In general, the goal of the surgery is to achieve a more balanced limb length and alignment, improving function and quality of life for the patient.
Epiphysiodesis surgery is a well-established procedure for managing growth discrepancies in children and adolescents. By carefully planning and executing the surgery, Dr Shales can help patients achieve better symmetry and function in their limbs, ultimately improving their overall well-being.
Here are a number of the questions we often get asked.
Pain and discomfort after surgery are common but can be managed effectively with medications prescribed by your surgeon.
In some cases, additional surgeries may be necessary to address residual deformities or growth discrepancies. Dr Shales will discuss any potential future procedures with you during follow-up appointments.
The long-term effects of epiphysiodesis surgery are generally positive, with many patients experiencing improved limb alignment and function. However, regular follow-up appointments with Dr Shales are essential to monitor growth and address any concerns that may arise.
