Presentation
Genu varum.
Patient Data
Tension-band plates for hemiepiphysiodesis applied to the lateral sides of the physes of the distal femur and proximal tibia on both sides for correction of genu varum.
Case Discussion
Temporary hemiepiphysiodesis (i.e. guided growth) is an effective and popular treatment method for correction of the pediatric lower limb angular deformity in which tension-band plates (also called guided growth plates) are applied to a crooked bone to gradually straighten it as a child or adolescent grows. It takes 6 to 12 months before the bone fully straightens; sometimes the tension-band plate may need to remain in place for a year. After the correction is achieved, the tension-band plate is removed during a second, outpatient surgical procedure. The most commonly used tension-band plates are the eight-plate and the peanut plate.
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