Guided growth for paediatric knee pathology

IF 2 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2025-09-17 DOI:10.1016/j.knee.2025.08.019

Jason Hong , Brian Loh

引用次数: 0

Abstract

Guided growth has fundamentally transformed paediatric knee surgery, offering a less invasive alternative to manage paediatric knee pathology and lower limb angular deformities.

A better understanding of the various guided growth techniques, growth plate mechanism and pathology has expanded the indications of physeal modulation to include coronal plane deformities, patellofemoral instability with genu valgum, osteochondritis dissecans with mechanical malalignment, ACL injuries with associated deformities, sequelae of paediatric meniscal pathology, and knee fixed flexion deformities.

This systematic review identifies and examines current applications, techniques, and outcomes of guided growth for paediatric knee pathology, while exploring future directions in this evolving field.

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引导生长用于儿科膝关节病理。

引导生长从根本上改变了儿科膝关节手术，为治疗儿科膝关节病理和下肢角畸形提供了一种侵入性较小的选择。对各种引导生长技术、生长板机制和病理的更好理解，扩大了物理调节的适应症，包括冠状面畸形、膝外翻伴髌骨不稳定、机械错位伴分离性骨软骨炎、前交叉韧带损伤伴畸形、小儿半月板病理后遗症和膝关节固定屈曲畸形。这篇系统综述确定并检查了目前在儿科膝关节病理学中引导生长的应用、技术和结果，同时探索了这一不断发展的领域的未来方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.