To describe a case of a proximal tibial physeal bar due to a neonatal infection and evaluate the surgical management approach.
Approach:
Case Description: A 24-month-old female with lower limb length discrepancy and varus knee deformity underwent surgical resection of a physeal bar at 26 months old.
Key Findings:
The patient had a significant physeal bar covering 33% of the physeal surface due to a neonatal infection, leading to limb length discrepancy and varus deformity.
Postoperative outcomes included restored range of knee motion and full symptom resolution.
Interpretation:
The integration of arthroscopy and intraoperative imaging during surgery demonstrated clinical value in the treatment of physeal bars.
Limitations:
The diagnosis of the infectious origin of the physeal bar remains presumptive due to lack of corroborative medical documentation regarding the neonatal infection.
Conclusion:
This case highlights the surgical intervention in a physeal bar condition that was previously thought to be irreversible.
by Roman Shcherbakov, Ahmer A. Khan, Ardian Ramadani, Andreas Tsoupras, Giacomo de Marco, Oscar Vazquez, Christina Steiger, Romain Dayer, Nicolas Lutz, Dimitri Ceroni
