Epiphyseal stapling in the control of bone growth
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Correction of knock-knee deformity may be obtained by stapling the distal femoral and proximal tibial epiphysis on the medial side. Two staples placed across each bone have been found adequate to correct the deformity.
The operation, while less extensive than supracondylar osteotomy, is technically more difficult and should not be undertaken in the absence of a careful follow-up.
It would appear that after the removal of the staples, growth of the epiphysis is resumed at about the normal rate. A final decision on this point cannot be arrived at until the growth period is ended.
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