Conclusions
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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References
Phemister, D. B. (1933). Operative Arrest of Bone Growth,J. Bone and Joint Surg., 15, 1–15.
White, J. W. (1935). Femoral Shortening,J. Bone and Joint Surg., 17, 597–604.
Blount, W. P., and Clarke, G. (1949). Control of Bone Growth by Epiphyseal Stapling,J. Bone and Joint Surg., 31-A,464.
Additional information
Communication to Section of Surgery, 13th April, 1951.
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Cherry, J.C. Epiphyseal stapling in the control of bone growth. Ir J Med Sci 26, 321–323 (1951). https://doi.org/10.1007/BF02957746
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DOI: https://doi.org/10.1007/BF02957746