Guided growth surgery is a minimally invasive procedure used to correct bone deformities in growing children. This innovative technique involves the use of temporary implants to guide the growth of the bone, allowing for gradual correction over time. This surgery is particularly beneficial for conditions such as limb length discrepancies, angular deformities, and certain types of scoliosis.
During guided growth surgery, small plates or screws are surgically implanted near the growth plates of the affected bone. These implants are strategically placed to control the direction and rate of bone growth, gradually correcting the deformity. The surgery is typically performed under general anaesthetic and involves small incisions, minimising trauma to surrounding tissues.
Before undergoing guided growth surgery, your child will undergo a thorough evaluation by Dr Shales. This may include imaging studies such as X-rays or MRIs to assess the extent of the deformity. Dr Shales will provide specific instructions on preoperative fasting, medications, and any necessary preoperative tests.
Following guided growth surgery, your child may experience mild discomfort and swelling at the surgical site. Pain medication and anti-inflammatory drugs may be prescribed to manage any discomfort. Most children can return home the same day as the surgery, although some may require a short hospital stay for observation.
Rehabilitation following guided growth surgery focuses on restoring strength, mobility, and function to the affected limb. Physiotherapy exercises may be recommended to improve range of motion and muscle strength. Dr Shales will provide guidance on activity restrictions and when it is safe to return to normal activities.
While guided growth surgery is generally considered safe, as with any surgical procedure, there are risks and potential complications. These may include:
- Infection
- Implant failure
- Nerve or blood vessel injury
- Recurrence of the deformity.
Dr Shales will discuss these risks with you in detail and address any concerns you may have.
The outcomes of guided growth surgery are typically favourable, with most children experiencing significant improvement in the deformity over time. The degree of correction achieved depends on factors such as the severity of the deformity and the child's growth potential. Regular follow-up appointments with Dr Shales are required to monitor progress and make any necessary adjustments to the treatment plan.
Guided growth surgery offers a promising treatment option for children with bone deformities, allowing for gradual correction while minimising the need for more invasive procedures. With careful evaluation, planning, and postoperative care, most children can achieve excellent outcomes and enjoy improved quality of life.
Here are a number of the questions we often get asked.
No, it should be removed once the correction has been achieved.
As long as required. The plate itself is safe to be left in the body but once correction has been achieved the plate is removed to allow the bone to recommence its normal growth. The plates are normally in for around 6-18 months.
