Guided growth: current perspectives and future challenges

Guided growth by tethering part of the growth plate is an established technique for the correction of frontal angular deformities about the knee in children. A better understanding of the underlying conditions, factors affecting longitudinal growth, and mechanism of response of the growth plate to retardation forces could lead to improvement and expansion of this technique to other sites and indications. This review article highlights areas of future research and outlines the possible future of guided growth techniques. </ul