Effectiveness of different minimally invasive epiphysiodesis techniques in the management of pediatric leg length discrepancies: a systematic review protocol

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Review question/objective:The objective of this review is to synthesize the best available evidence on the use of minimally invasive epiphysiodesis (MIE) for the management of pediatric leg length discrepancies (LLDs). The effectiveness of four different MIE techniques will be compared, including transphyseal screws, physeal drilling and curettage, physeal stapling and guided growth with eight-Plates.Specific review questions to be addressed include:What method of MIE is most effective at achieving growth arrest and correcting a LLD in children?- Percentage of correction- Rate of correctionAre the postoperative complication profiles different for each method of MIE?- Angular deformity- Failure of growth arrest- Infection- Re-operation/interventionHow do children respond to each technique?- Length of hospital stay- Time to return to activities of daily living such as schooling

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