No article notes available at this time.
• Surgeons performing procedures near the distal femoral physis — including epiphysiodesis, ACL reconstruction, or osteotomies in skeletally immature patients — have traditionally relied on a simplified, more linear model of physeal anatomy; this study demonstrates that the posterior physis is meaningfully concave and variable, which has direct implications for drill trajectory and tunnel placement planning. • Because the anterior physis is flat but the posterior aspect curves inward, instrumentation based on anterior landmarks alone may not predict physeal position posteriorly, raising the risk of unintended physeal violation if this is not accounted for. • As a descriptive anatomic study with a modest sample size, this work provides useful preoperative planning data rather than a change in treatment algorithm, but it refines surgeons' mental map of the growth plate for procedures involving the pediatric knee.
No article notes available at this time.
• Surgeons performing procedures near the distal femoral physis — including epiphysiodesis, ACL reconstruction, or osteotomies in skeletally immature patients — have traditionally relied on a simplified, more linear model of physeal anatomy; this study demonstrates that the posterior physis is meaningfully concave and variable, which has direct implications for drill trajectory and tunnel placement planning. • Because the anterior physis is flat but the posterior aspect curves inward, instrumentation based on anterior landmarks alone may not predict physeal position posteriorly, raising the risk of unintended physeal violation if this is not accounted for. • As a descriptive anatomic study with a modest sample size, this work provides useful preoperative planning data rather than a change in treatment algorithm, but it refines surgeons' mental map of the growth plate for procedures involving the pediatric knee.