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1Principles

Overview of techniques

Growth retardation can be accomplished using one of four techniques:

  1. Staples
  2. Screws and cerclage wire
  3. Screws and small plate
  4. Transphyseal screw

Note: techniques 2 and 3 are basically the same and only the bridging implant is different. Using the plate prevents the complication of wire breakage and premature loss of the growth retardation effect.

Note: the different techniques of growth retardation will be explained at the distal McIII only. The technique itself does not change if it is applied in any of the different anatomic locations where angular limb deformities can occur, only the local anatomical considerations do.