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Laura L Bellaire1, Olivia Grothaus1, Peter Stevens1

  • 1University of Utah Department of Orthopaedic Surgery, Salt Lake City, UT, USA.

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Guided growth (hemiepiphysiodesis) for limb deformities requires frequent follow-up. A new virtual monitoring protocol could reduce burdens associated with traditional in-person visits.

Keywords:
Environmental stewardshipGuided growthHealth accessRadiation exposureSmartphoneTelehealth

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Area of Science:

  • Pediatric Orthopaedics
  • Medical Technology
  • Health Equity

Background:

  • Hemiepiphysiodesis, or guided growth, is a common pediatric orthopedic procedure for limb deformity correction.
  • While effective, it necessitates frequent follow-up until skeletal maturity, posing significant burdens.
  • Current protocols create challenges for patients, families, healthcare systems, and the environment.

Purpose of the Study:

  • To review challenges in monitoring guided growth patients.
  • To explore technological solutions for follow-up care.
  • To propose a novel virtual monitoring protocol for guided growth.

Main Methods:

  • Review of existing evidence on guided growth monitoring.
  • Analysis of current follow-up protocol challenges.
  • Proposal of a virtual monitoring framework.

Main Results:

  • Traditional follow-up is costly, time-consuming, and inequitable, particularly for remote or low-resource populations.
  • Telehealth offers a viable alternative or supplement to in-person monitoring.
  • A virtual protocol can potentially mitigate burdens while maintaining treatment efficacy.

Conclusions:

  • Virtual monitoring protocols show promise for guided growth patients.
  • Implementing telehealth can improve access, reduce costs, and lessen environmental impact.
  • Further research and refinement are needed for optimal virtual protocol implementation.