Updates on Preoperative Planning, Limb Deformity Analysis and Surgical Correction for the Growing Children

Successful deformity correction depends on establishing the etiology of the deformity.

Clinical examination, additional laboratory tests and consultation with other experts may be needed to complete the workup.

Imaging studies should include full length standing X-rays in all relevant planes, additional imaging modalities like CT and MRI may add information on bone morphology and growth plates` anatomy.

Based on the data- analysis of the deformity and length differences is performed followed by prediction for skeletal maturity.

The patient need to be follow up on regular basis and repeat analysis done to improve the accuracy of prediction for final LLD.

Limb deformity and lengthening correction plans are drawn and updated during follow up, to achieve straight and equal lower limbs at maturity.

Timely surgical procedures are performed using appropriate techniques and the most modern technologies available.

These principles are discussed and demonstrated with case examples.

Key words