Clean FRCS notes with inline figures
General management for knee malalignment
•Indication for surgery: symptomatic zone 2 or zone 3
•Immature: hemiepiphysiodesis
•Timing: according to Bowen Chart
•Irreversible – hemiepiphysiodesis – adv: predictable growth
•Reversible – staple / physis bridging plate (guided growth) – disadv: unpredictable growth, time lag
Aim to overcorrect due to rebound phenomenon
•Removal of implant in 2 years, otherwise implant will break
•Mature: osteotomy