Table 4.
Cases with MAD ≥10 mm.
| Patient | Age | Bone age | Sex | Diagnosis | Physis operated (F = femur, T = tibia) | Physis failed | Remaining growth at time of surgery in failed physis (cm) | Time interval until failure was noticed (months) | Immediate action | MAD (mm) + (valgus) − (varus) |
Solution |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 14.7 | 14.4 | M | CFD/fibular hemimelia | F | F | 1.53 | 38 | None | −10 | Angular deformity accepted |
| 2 | 15.9 | 12.8 | M | CFD | F + T | F | 3.07 | 9 | Re-epiphysiodesis | −42 | Osteotomy |
| 3 | 13.1 | 13.0 | M | Neurofibromatosis | F + T | F | 2.83 | 7.5 | Re-epiphysiodesis | +35 | Angular deformity accepted |
| 4 | 16.8 | 14.8 | F | Hemihypertrophia | F + T | F | 1.17 | 36 | None | −21 | Angular deformity accepted |
| 5 | 11.9 | 10.5 | M | CFD/fibular hemimelia | F | F | 5.19 | 41 | None | −16 | Angular deformity accepted |
| 6 | 12.6 | 12.2 | F | DDH sequela | F | F | 1.70 | 42 | None | −14 | Angular deformity accepted |
| 7 | 13.9 | 12.8 | M | Femoral fracture sequela | F + T | F | 3.09 | 16.5 | Re-epiphysiodesis | +71 | Osteotomy |
| 8 | 12.2 | 12.0 | F | Hypoplasia | F + T | F | 1.89 | 13 | None | +12 | Angular deformity accepted |
MAD: mechanical axis deviation; CFD: congenital femoral deficiency; DDH: developmental dislocation of the hip.