Guided growth for the correction of pediatric lower limb angular deformity

Neil Saran, Karl E. Rathjen

Research output: Contribution to journalReview articlepeer-review

61 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)528-536
Number of pages9
JournalJournal of the American Academy of Orthopaedic Surgeons
Issue number9
StatePublished - Sep 2010

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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