physeal bridge resection
A surgical procedure to remove bony bridges across growth plates to restore normal growth potential in affected bones.
Full Definition
Physeal bridge resection is a complex surgical procedure performed to remove bony or fibrous tissue bridges that form across growth plates (physes) following injury, infection, or other pathological processes. These bridges cause growth disturbances, leading to limb length discrepancies, angular deformities, or joint incongruity. The procedure involves precise surgical removal of the bridge tissue, often followed by interposition of fat, bone wax, or synthetic materials to prevent bridge reformation. Success depends on factors including the patient's remaining growth potential, bridge size and location, and timing of intervention. Advanced imaging techniques and intraoperative guidance are essential for optimal outcomes.
Usage
Usage note: Distinguish from epiphysiodesis, which intentionally stops growth; specify interposition material used.
In Context
- "Physeal bridge resection was performed with fat interposition to prevent recurrent growth disturbance." — Operative report
- "MRI confirmed a central physeal bridge amenable to surgical resection in this 12-year-old patient." — Preoperative imaging assessment