Pearls

• Early intervention with epi-physiodesis has been effective in preventing longitudinal overgrowth.

• Epiphysiodeses should be performed when that segment of the child's digit is approximately the same size as the same gender parent.

• For circumferential bulk reduction, surgery should be performed in two stages with debulking on one side in the first stage, and debulking on the other side of the digit as a second stage in 3 to 6 months.

• Individualize the treatment plan based on the degree and extent of the deformity.

• If the size is significant and the function poor, recommend amputation early, prior to multiple operative interventions.

Essentials of Human Physiology

Essentials of Human Physiology

This ebook provides an introductory explanation of the workings of the human body, with an effort to draw connections between the body systems and explain their interdependencies. A framework for the book is homeostasis and how the body maintains balance within each system. This is intended as a first introduction to physiology for a college-level course.

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