Medial physeal stapling for primary and XXXX in late childhood and adolescence.

@entity1 @entity13809 @entity4932 @entity4903 @entity1141
We report the results of medial physeal stapling in 16 knees with @entity13809 and 27 with @entity13809 . In the primary group, stapling was undertaken at a mean chronological age of 12 years in @entity1 and 13 years in @entity1 . The medial femoral physis was stapled in ten knees and the medial femoral and tibial physes in six knees. At skeletal maturity, all @entity1 had excellent or good leg alignment. @entity13809 is due to @entity1141 , @entity4903 , or to @entity4932 . Stapling was at a mean chronological age of 11 years in @entity1 and 14 years in @entity1 . The medial femoral physis was stapled in 13 knees, the medial tibial physis in three and both in 11 knees. At skeletal maturity, 85% had excellent or good leg alignment, and correction had occurred within one year. Two of the poor results were due to staple extrusion from osteoporotic bone, and two to overcorrection. Rebound growth was minimal and unpredictable after the removal of staples. Medial physeal stapling is a suitable method of treatment for both primary and @entity13809 in late childhood and in adolescence. At least one year of knee growth is required to achieve correction, and care is needed to avoid overcorrection of the @entity13809 .
