Table 2.
Partial physeal bars: central.
| S. no. | Age at infection (months) | Age first presented (months) | Femur/tibia | Sepsis treatment | Age at intervention (if any) (years) | Preintervention deformitya (degrees) | Primary intervention | Follow up post infection (years) | Deformity at final follow upa | Shortening (cm) | Articular abnormality | Remarks |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 0.5 | 1 | Right tibia | AB | – | – | – | 2 | 1.8 | 0 | C | Neonatal infection |
| 2. | 3 | 3 | Right tibia | Arthrotomy + AB | 9 | 8.5 | Lateral closing proximal tibial osteotomy + permanent epiphyseodesis + left proximal tibial epiphyseodesis | 13 | 6 | 2 | – | |
| 3. | 24 | 120 | Right tibia | AB | 10 | 10.2 | BE + medial open wedge tibial osteotomy + HE contralateral side | 11 | 1.8 | 3 | – | |
| 4. | 0.5 | 0.5 | Left tibia | Multiple aspirations + AB | – | – | – | 3 | 2 | 2 | Small rounded epiphysis | Neonatal infection; concomitant involvement right elbow |
| 5. | 8 | 14 | Right femur | I and D + AB | – | – | – | 3 | 3.7 | 2 | C | |
| 6. | 24 | 34 | Left femur | I and D + AB | 3.3 | 9 | BE + HE contralateral side | 3 | 11.7 | 2 | C | No effect of bar resection till latest follow up |
| 7. | 0.5 | 36 | Right femur | I and D + AB | – | – | – | 3 | 1.4 | 2.5 | F | Neonatal infection; concomitant involvement right hip and knee |
BE-bar excision; HE-hemiepiphyseodesis; AB-antibiotics; I and D-incision and drainage; F- flattening; C-cupping.
a
Deformity as compared to opposite unaffected limb [aLDFA (femur) or aMPTA (tibia)].