Physeal Bar Excision

While several surgical options are available for the management of a premature physeal arrest, the treatment choice must be tailored to the individual patient to ensure the most optimal outcome. A complete understanding of the location, extent, and etiology of a physeal bar is paramount and used in conjunction with predicted remaining physeal growth and the presence of acquired angular deformity to determine the viability of bar resection. Both the technical intricacies of physeal bar excision and the timing of the procedure are essential to success.