Related Experiment Video
Updated: Jun 9, 2026
07:12
Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
Published on: February 10, 2026
Guided growth for the correction of pediatric lower limb angular deformity
1Shriner's Hospital, McGill University, Montreal, Quebec, Canada.
The Journal of the American Academy of Orthopaedic Surgeons
|September 3, 2010
Summary
Guided growth effectively corrects pediatric angular deformities by manipulating bone growth. Careful planning and follow-up minimize issues like undercorrection or overcorrection for optimal results.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Skeletal Growth Modulation
Background:
- Guided growth is a key technique for correcting pediatric angular deformities.
- It is most frequently employed for coronal plane deformities around the knee.
Purpose of the Study:
- To review the principles and techniques of guided growth for pediatric angular deformity correction.
- To discuss potential complications and strategies for minimizing them.
Main Methods:
- Temporary hemiepiphysiodesis techniques include staples, percutaneous transphyseal screws, and tension band plates.
- Permanent hemiepiphysiodesis can be achieved via open Phemister or percutaneous methods.
- These methods tether a portion of the physis to enable differential growth and correct deformities.
Main Results:
- Guided growth allows for angular deformity correction by altering physeal growth.
- Common challenges include undercorrection and overcorrection.
- Meticulous preoperative planning and diligent follow-up are crucial.
Conclusions:
- Guided growth is a valuable tool for correcting pediatric angular deformities.
- Proper application can lead to excellent correction with minimal complications.
- Careful management is essential to mitigate risks such as under- or overcorrection.
Related Concept Videos
01:09Changes in the Appendicular Skeleton with Age
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...