In other words: Keep It Simple and Stupid


I was in my first class at the interpreting school when I first heard of this concept, which can be applied almost to any field of knowledge.

If you wish other people understand you, especially if they are laymen in the subject you are dealing with, it is very important that you put things as matter-of-factly as you can.

Unfortunately, anyone who has ever visited an orthopedic surgeon practice knows pretty well that this kind of professionals completely disregard this principle.

You will all have heard in a first consultation words like phalangeal resection, tissue debulking, osteotomy, epiphysiodesis…..

I dont’ know if this is all part of a big plan to have the already very frightened parents feel even more frightened, as to get full power of their minds or they are simply showing off incredible knowledge.

Whatever the reason behind this behavior, the result is always the same: puzzlement and fear.

This is the reason why I decided to publish in this section a glossary of some orthopedic terms,  trying to explain them in the easiest way. I will try to add new entries, but I need your help to make this resource become complete and really useful. So, let me thank you in advance for the contribution you will give.


Epiphysiodesis is a pediatric surgical procedure done on a child who has one/more toe(s) longer than the others.
bones in children who are still growing have a region at each end called the epiphyseal plate. The epiphyseal plate is made of cartilage cells that can rapidly divide and allow the bone to expand in length. This plate is in a region of the bone known as the metaphysis, where bone growth occurs. At skeletal maturity, the epiphyseal plate hardens into bone and any growth will stop. The goal of epiphysiodesis is to slow the growth in the longer toe(s)/finger(s) and give the shorter ones time to grow and catch up in length. In macrodactyly, this procedure is carried out on the proximal phalanx.

Proximal phalanx

Proximal phalanges are the closest to the hand.


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