{"title":"'Retrograde Guidewire and Antegrade Screw Technique' in Performing Percutaneous Epiphysiodesis Using Transphyseal Screws (PETS): A Technical Report.","authors":"Suresh Chand, Udit Agrawal","doi":"10.1007/s43465-025-01357-x","DOIUrl":null,"url":null,"abstract":"<p><p>Percutaneous epiphysiodesis using transphyseal screws (PETS) is a well-established method for managing limb deformities and length discrepancies in growing children. This technical report presents a modified approach to PETS. It emphasizes the use of a retrograde guidewire for precise screw trajectory and an antegrade screw placement technique. The procedure is performed under fluoroscopic guidance without a tourniquet, allowing immediate post-operative weight bearing. Key steps include meticulous patient positioning, fluoroscopic imaging to ensure accurate screw placement, and careful attention to anatomical landmarks. This technique offers advantages, such as minimal blood loss, shorter operative times, and preservation of joint function. By detailing our approach, we aim to enhance surgical efficiency and facilitate broader adoption of this minimally invasive procedure in orthopedic practice.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 5","pages":"689-693"},"PeriodicalIF":1.1000,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044124/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Orthopaedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s43465-025-01357-x","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Percutaneous epiphysiodesis using transphyseal screws (PETS) is a well-established method for managing limb deformities and length discrepancies in growing children. This technical report presents a modified approach to PETS. It emphasizes the use of a retrograde guidewire for precise screw trajectory and an antegrade screw placement technique. The procedure is performed under fluoroscopic guidance without a tourniquet, allowing immediate post-operative weight bearing. Key steps include meticulous patient positioning, fluoroscopic imaging to ensure accurate screw placement, and careful attention to anatomical landmarks. This technique offers advantages, such as minimal blood loss, shorter operative times, and preservation of joint function. By detailing our approach, we aim to enhance surgical efficiency and facilitate broader adoption of this minimally invasive procedure in orthopedic practice.
期刊介绍：
IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.
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