Post infective physeal bar sequelae around knee: Natural history and coronal plane deformities

Backgroundand methodology: The presented retrospective study is a report of 17 children (18 limbs) with post infective physeal bars around the knee. Minimum 2 years follow up sepsis was available.ObservationsThe mean infection 6.9 years. bar formation manifested 22.6 months sepsis. angular deformity progressed at monthly rate 0.84, 0.1, 0.26° for peripheral, central and extensive respectively. Peripheral underwent early intervention. Balancing growth using contralateral ‘8’ plate useful partial bars. For older patients, complete epiphyseodesis limb length equalization used. Articular abnormalities (cupping, flattening, small epiphysis) were associated in 80% Neonatal infections often multifocal had articular abnormalities.ConclusionsThe 3 types different characteristics. produced most deformities required large number patients especially those neonatal infections. Overall unhealthy physis beside bar, delayed manifestations, discrepancy should be accounted while planning treatment.