• Arch Orthop Trauma Surg · Aug 2018

    Case Reports

    Physeal bar resection using a patient-specific guide with intramedullary endoscopic assistance for partial physeal arrest of the distal radius.

    • Satoshi Miyamura, Hiroyuki Tanaka, Kunihiro Oka, Atsuo Shigi, Shingo Abe, Hideki Yoshikawa, and Tsuyoshi Murase.
    • Department of Orthopedic Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamada-oka, Suita, Osaka, 565-0871, Japan.
    • Arch Orthop Trauma Surg. 2018 Aug 1; 138 (8): 1179-1188.

    AbstractThe partial physeal arrest of the distal radius could result in progressive deformities and functional problems of the wrist. Despite being the most preferred surgical intervention, physeal bar resection (Langenskiöld procedure) is technically demanding. This manuscript aims to illustrate the technical tricks and present an illustrative case of premature physeal arrest of the distal radius managed with a novel method for the Langenskiöld procedure, involving complete removal of the bar using a patient-specific guide in combination with an intramedullary endoscopy technique that facilitated direct observation.

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