title: The biomechanics of guided growth: does screw size, plate size, or screw configuration matter?
abstract: Guided growth with the eight-plate is a commonly used technique to correct angular limb deformities in children. However, the optimal combination of plate size, screw size, and screw configuration has not been determined. Using osteotomized femoral sawbones and a rail frame, we developed a growth model to examine the effect of these variables at 6-month, 12-month, and 18-month growth increments. The mean annual coronal plane change was 11.3°. Screw size and plate size were not associated with the rate of angular correction. Screw configuration was important, with parallel screws resulting in optimal correction at all time points compared with divergent screws (P<0.05).
authors: aDepartment of Orthopaedics, Jackson Memorial Hospital, University of Miami bDepartment of Orthopaedic Surgery, Miami Children's Hospital, Miami, Florida cRubin Institute for Advanced Orthopaedics, Baltimore, Maryland, USA.
authors: Scott J
authors: SJ
authors: Schoenleber
authors: Christopher A
authors: CA
authors: Iobst
authors: Avi
authors: A
authors: Baitner
authors: Shawn C
authors: SC
authors: Standard
mesh_terms: D001696:Biomechanical Phenomena; D001860:Bone Plates; D001861:Bone Regeneration / Q000502:physiology*; D001863:Bone Screws; D002648:Child; D004867:Equipment Design; D005269:Femur; D048091:Guided Tissue Regeneration / Q000295:instrumentation*; D006801:Humans; D038061:Lower Extremity Deformities, Congenital / Q000503:physiopathology / Q000601:surgery*; D008954:Models, Biological