The Evolution of Guided Growth for Lower Extremity Angular Correction

Guided growth is one of the most utilized surgical techniques for managing limb deformity in skeletally immature patients. Our understanding this technique and types implants have evolved over past century. Many known risks surgery, such as over-correction, under-correction, rebound deformity, are same initially described when hemiephysiodesis guided were first published. The staple has been a powerful tool correction but its high rates implant backout breakage well unpredictable premature physeal closure after removal contributed to being used less frequently today. studies on percutaneous transepiphyseal screws (PETS) promising little follow-up so with regard not understood. Tension band plating currently method. However, specific patient subgroups, perioperative complication failure high. Despite abundance literature these techniques, our still quite limited small do follow patients skeletal maturity. surgery also can restore mechanical axis while leaving significant residual diaphyseal or peri-articular implications secondary deformities studied.