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Physeal bar resection is a surgical procedure aimed at correcting growth disturbances caused by a physeal bar, which is an abnormal bony bridge that forms across the growth plate or physis of a long bone. This abnormality can result from several factors, most notably trauma, infection, or conditions like osteochondritis dissecans, leading to an interruption in normal growth and development of the affected limb. The presence of a physeal bar can cause unequal limb lengths, angular deformities, or joint dysfunction due to the disrupted growth patterns. The procedure involves identifying the location and extent of the physeal bar, which may require imaging studies such as X-rays, MRI, or CT scans for precise planning. During the surgery, the surgeon approaches the affected bone, typically through a longitudinal incision, to carefully expose the growth plate. The goal is to resect, or surgically remove, the bony bar while preserving as much of the healthy surrounding growth plate as possible to restore normal growth function. Special attention is given to minimize damage to the cartilaginous structure of the physis during this process since any harm to the intact areas can further compromise growth. Post-operatively, careful monitoring and rehabilitation are critical to ensure recovery and the potential for normal limb development. Physical therapy may also be integrated into the rehabilitation program to strengthen the surrounding muscles and improve the overall function of the limb. Complications such as infection, non-union, or recurrence of the physeal bar can occur, but the prognosis after a successful resection is generally favorable, allowing for a return to normal activities and improved quality of life for the patient. The choice of this surgical intervention is typically based on the age of the patient, the extent of the deformity, and the specific anatomical considerations of the affected limb. Moreover, physeal bar resection highlights the critical nature of the growth plate in the long bone's development and the intricate balance required for healthy skeletal growth. Appropriate timing and surgical technique are essential for maximizing the potential for growth restoration, thereby avoiding long-term complications associated with limb length discrepancy or functional impairment. The ultimate goal of the procedure is to enable the patient to achieve a well-aligned limb with an optimal range of motion and to enhance their mobility and physical capabilities as they grow. Hence, physeal bar resection plays a crucial role in pediatric orthopedics, where managing developmental growth disorders is paramount to ensuring healthy skeletal progression.