Management of the Athlete’s Knee Event Recording-3. Don’t Rush. Where’s The Fire? Guided Growth to Correct Malalignment for Chondral Pathology

3. Don’t Rush. Where’s The Fire? Guided Growth to Correct Malalignment for Chondral Pathology

Video Transcription

Video Summary

In this video, Dr. Daniel Green discusses guided growth in chondral pathology and its role in treating knees. He explains that implant-mediated guided growth is often referred to as hemi-epiphyseodesis in terms of CPT or billing. This method is ideal for uniplanar deformities such as valgus or varus, but is not suitable for multiplanar deformities, extreme rotational malalignment, flexion extension deformities, or significant leg length issues. The video showcases various cases where implant-mediated guided growth was used successfully to correct genuvalgum and genuvarum deformities. Dr. Green emphasizes the importance of proper follow-up and removal of the plates once there is correction in neutral or just beyond. He highlights the effectiveness of implant-mediated guided growth in treating knee pathologies such as meniscal insufficiency, ACL tears, and osteochondritis dissecans. Overall, Dr. Green advocates for the use of implant-mediated guided growth as a powerful tool in treating pediatric patients with angular deformities.

Asset Caption

David W. Green, MD

Keywords

guided growth

implant-mediated guided growth

uniplanar deformities

knee pathologies

pediatric patients