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Recommendations for the follow-up of children with leg length discrepancy: expert consensus

Silvia Caino1, Rosario Ramos Mejia2, Rodolfo Goyeneche3

  • 1Servicio de Crecimiento y Desarrollo Hospital "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina. scaino@garrahan.gov.ar.

Archivos Argentinos De Pediatria
|March 15, 2019
PubMed

Insights

This study developed expert-agreed recommendations for managing pediatric leg length discrepancy (LLD). These guidelines cover follow-up, pre-surgical planning, and treatment for children with LLD.

Area of Science:

  • Pediatric Orthopedics
  • Medical Imaging
  • Clinical Practice Guidelines

Background:

  • Leg length discrepancy (LLD) is a common pediatric condition requiring specialized management.
  • Standardized approaches for LLD follow-up, surgical planning, and treatment are essential for optimal outcomes.

Purpose of the Study:

  • To establish expert consensus-based recommendations for the management of pediatric leg length discrepancy.
  • To provide a framework for pediatricians and orthopedic specialists in treating children with LLD.

Main Methods:

  • The Delphi method was employed, involving multiple rounds of semistructured questionnaires.
  • An expert panel of orthopedic surgeons and imaging specialists participated in the consensus process.
  • Consensus was defined as >80% agreement among experts on recommendations.

Main Results:

  • Consensus was achieved on 39 recommendations after three rounds of consultation.
  • These recommendations were refined into 32 final guidelines for LLD management.
  • The guidelines address follow-up, pre-surgical planning, and treatment strategies.

Conclusions:

  • This study presents the first expert consensus recommendations for the follow-up of pediatric leg length discrepancy.
  • These guidelines offer a standardized, evidence-informed approach to managing LLD in children.
Abstract

Keywords:
Clinical practice guidelineConsensusDiscrepancyLower limbs

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