Table 3.
Physeal bar extensive.
| 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. | 48 | 120 | Right tibia | I and D + AB | 10 | 28.7 | Medial opening osteotomy proximal tibia + left proximal tibial epiphyseodesis | 10 | 0 | 0 | F | Repeat medial opening osteotomy + permanent epiphyseodesis right proximal tibia at age 12 years |
| 2. | 60 | 120 | Left femur | AB | 10 | 23.1 | Lateral closing osteotomy distal femur + right distal femur and proximal tibia epiphyseodesis | 10 | 47.8 | 7 | C | – |
| 3. | 0.5b | 84 | Both femur | AB | 7 | Right 0.7 Left 10.5 |
Extension osteotomy right distal femur | 19 | Right 20 Left 16.9 |
Not calculated | Right: C Left: C |
Neonatal infection; concomitant involvement both hips, left ankle and shoulder |
| 4. | 1 | 1 | Left femur | AB | – | – | – | 2.5 | 25.4 | 5 | C | Neonatal infection; concomitant involvement both hips |
| 5. | 60 | 60 | Right femur | I and D + AB | 5 | 10 | Sequestrectomy | 3 | 0 | 2 | F | |
| 6. | 36 | 120 | Right tibia | AB | 10 | 29.4 | Medial opening osteotomy proximal tibia | 9 | 1.7 | 0 | – | |
| 7. | 0.5 | 60 | Right Femur | AB | – | – | – | 5 | 10 | 5 | C | Neonatal infection; concomitant involvement right elbow |
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)].
b
Reference taken as 90° for angular deformity.