Open Access
Review
Table 3
Suggested goals and indications for guided growth treatment of the proximal femur in CP.
| Secondary guided growth | Primary guided growth |
|---|---|
| After hip reconstructive surgery | Before bony surgery |
| To prevent rebound coxa valga | With/without adductor-psoas release |
| To reduce or avoid revision surgery | Frail children, GMFCS IV/V |
| Temporary GG: by inserting a screw | More research before routine use |
| Permanent GG: “spot weld” physis | Needs RCT and longer-term studies |
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