Treatment of growth deformities with external skeletal fixation.

Growth deformities of the long bones are usually caused by premature closure of the physis. The most commonly affected bones are the radius, ulna, and tibia. Premature closure of the physis can result in shortened, angular, and rotational bone deformities, especially when one bone of a paired bone system like the radius and ulna is affected. Adjacent joints may develop osteoarthritis. Corrective osteotomy to realign in joint surfaces is indicated in mature animals. Bilateral or type II external fixation frames are used to stabilize the osteotomies. The advantages of ESF are: (1) The transfixation pins can be used as guide pins to realign joints. (2) The fixation allows rigid stabilization of the osteotomy site. (3) Postoperative correction of alignment can be achieved. (4) Implant removal after bone union is simple.