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What's New in Limb Lengthening and Deformity Correction

What's New in Limb Lengthening and Deformity Correction <h2>Introduction</h2> This update summarizes select research highlights pertaining to limb lengthening and deformity correction that were either published in a peer-reviewed journal between January 2009 and June 2010 or presented at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS), the Limb Lengthening and Reconstruction Society (LLRS), the Pediatric Orthopaedic Society of North America (POSNA), the Orthopaedic Trauma Association (OTA), or the American Orthopaedic Foot & Ankle Society (AOFAS). <h2>Pediatric Disorders</h2> <h3>Assessment of Lower Limb Alignment in Children</h3> The assessment of standard radiographic measurements such as the mechanical axis deviation with use of full-length standing radiographs has been found to be reliable in children 1 . However, the hip-knee-ankle angle does not reach the adult reference values until the age of seven years 2 . <h3>Guided Growth</h3> Guided growth techniques continue to evolve. One study compared traditional physeal stapling with the more recently introduced non-locking plate hemiepiphysiodesis and demonstrated minimal difference between the two types of implants 3 . The rate of angular correction was approximately 10° per year in both groups, with comparable complication rates. In another study, anterior distal femoral hemiepiphysiodesis was evaluated for the management of children who had arthrogryposis and flexion contracture http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Bone and Joint Surgery JB&JS

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