TY - JOUR
T1 - Guided growth for the correction of pediatric lower limb angular deformity
AU - Saran, Neil
AU - Rathjen, Karl E.
PY - 2010/9
Y1 - 2010/9
N2 - Guided growth is useful in correcting pediatric angular deformities. Although growth manipulation has been applied to various deformities, it is most commonly used to correct coronal plane deformity about the knee. Temporary hemiepiphysiodesis is performed using staples, percutaneous transphyseal screws, or a tension band plate. Permanent hemiepiphysiodesis can be done using either an open Phemister or a percutaneous approach. These techniques function by tethering one side of a growing physis, thereby allowing differential growth. Applied correctly, this can also result in angular deformity correction. Undercorrection and overcorrection are common problems with guided growth. However, careful preoperative planning and appropriate follow-up can minimize complications and allow for excellent deformity correction with minimal morbidity.
AB - Guided growth is useful in correcting pediatric angular deformities. Although growth manipulation has been applied to various deformities, it is most commonly used to correct coronal plane deformity about the knee. Temporary hemiepiphysiodesis is performed using staples, percutaneous transphyseal screws, or a tension band plate. Permanent hemiepiphysiodesis can be done using either an open Phemister or a percutaneous approach. These techniques function by tethering one side of a growing physis, thereby allowing differential growth. Applied correctly, this can also result in angular deformity correction. Undercorrection and overcorrection are common problems with guided growth. However, careful preoperative planning and appropriate follow-up can minimize complications and allow for excellent deformity correction with minimal morbidity.
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U2 - 10.5435/00124635-201009000-00004
DO - 10.5435/00124635-201009000-00004
M3 - Review article
C2 - 20810934
AN - SCOPUS:77956659864
SN - 1067-151X
VL - 18
SP - 528
EP - 536
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
IS - 9
ER -