Epiphysiodesis

Epiphysiodesis
Intervention
ICD-9-CM	78.2

Epiphysiodesis is a pediatric surgical procedure in which the epiphyseal (growth) plate of a bone is fused either temporarily or permanently to delay growth of a long bone. This procedure is often used to slow or halt the growth of a morphologically normal leg to allow a shorter leg to grow to a matching length.

Limitations

The procedure must be performed for an appropriate duration during the patient's adolescent growth phase so that the limbs are near-equal in length by the end of skeletal growth. Poor timing can lead to a length mismatch, resulting in poor outcomes and significant patient morbidity.

References

Leg lengthening/shortening

Orthopedic surgery, operations/surgeries and other procedures on bones and joints (ICD-9-CM V3 76–81, ICD-10-PCS 0P–S)

Bones

Facial	Jaw reduction Dentofacial osteotomy Genioplasty/Mentoplasty Chin augmentation Orthognathic surgery

Spine	Coccygectomy Laminotomy Laminectomy Laminoplasty Corpectomy Facetectomy Foraminotomy Vertebral fixation Percutaneous vertebroplasty

Upper extremity	Acromioplasty

Lower extremity	Femoral head ostectomy Astragalectomy Distraction osteogenesis Ilizarov apparatus

General	Ostectomy Bone grafting Osteotomy Epiphysiodesis Reduction Internal fixation External fixation Tension band wiring

Cartilage

Joints

Spine	Arthrodesis Spinal fusion Intervertebral discs Discectomy Annuloplasty Arthroplasty

Upper extremity	Shoulder surgery Shoulder replacement Bankart repair Weaver–Dunn procedure Ulnar collateral ligament reconstruction Hand surgery Brunelli procedure

Lower extremity	Hip resurfacing Hip replacement Rotationplasty Anterior cruciate ligament reconstruction Knee replacement/Unicompartmental knee arthroplasty Ankle replacement Broström procedure Triple arthrodesis

General	Arthrotomy Arthroplasty Synovectomy Arthroscopy Replacement joint imaging: Arthrogram Arthrocentesis

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