There are so many dedicated techniques in orthopaedics that are used to correct different types of bone-related deformities in people. One such technique that we are going to talk about in this post is "Hemiepiphysiodesis."
 

Hemiepiphysiodesis is a surgical procedure that is used to correct angular limb deformity. This method is known to be one of the best to get a better alignment at maturity. Plus, hemiepiphysiodesis is also said to be an alternative to corrective osteotomies.

This guided growth technique employs the use of Titanium Orthopedic Screws and plates.

How Hemiepiphysiodesis is performed?

People experiencing angular deformities of lower extremities can be benefited from hemiepiphysiodesis. To correct angular deformities, permanent hemiepiphysiodesis is performed and that includes physeal ablation. While on the other hand, temporary hemiepiphysiodesis using certain specific orthopaedic implants may also be done depending upon the condition of the patient.

This method is known to be a reliable one to equal the lengths of the limbs and correct angular deformities without any major surgery.

There is one key benefit associated with temporary hemiepiphysiodesis, and that is after removal of the implant, physis can resume growth. This technique is also known to be useful for correcting deformities near the hips and ankles.

What is the Principle Behind Temporary Hemiepiphysiodesis?

To correct angular deformity, temporary hemiepiphysiodesis works by inhibiting the physeal growth at the growth plate's one Hemi-side whereas, the other side is allowed to have unrestricted growth. This helps in correcting angular deformity in children suffering from joint disorders like Osteochondrodysplasia and Rickets. The process of correcting angular deformity with temporary hemiepiphysiodesis occurs gradually and slowly. While throughout the process, the doctor may examine the progress periodically.

What is the Outcome of Temporary Hemiepiphysiodesis?

Temporary hemiepiphysiodesis surgery is known to deliver satisfactory outcomes. One of the reasons why this surgery is preferred wherever possible is that it is considered a safe surgical method. While on the other hand, if we talk about complications, then they are not very severe. Whereas, there could be a risk of 'Blount's disease' in the case of mechanical failure of metal implants.

How Preoperative Assessment is Done?

When it comes to the preoperative assessment, the orthopedist will measure the lengths of the limb along with the monitoring of angular and rotational deformities. Besides all this, the orthopedist will also examine the gait pattern of the patient plus, long bone torsion and ligamentous laxity. In certain cases, a radiographic assessment may also be done to confirm the patient's condition.

Post-Operative Care

After the procedure is completed, the doctor may suggest early movement and activities, whereas in certain cases, physical therapy may also be recommended. This is important to strengthen bones & muscles and help regain a range of motion. Follow-up radiographs may also be suggested for around 3-6 months. Orthopaedic implants may be also be removed after complete recovery and that will be decided by the surgeon.


Siora Surgicals Pvt. Ltd. is one of the trustworthy Orthopaedic Device Companies in India manufacturing a huge range of implants. The company is also admired for supplying its international quality devices in different countries across the globe.