Accurate skeletal age and final adult height prediction methods in paediatric orthopaedics are crucial for determining optimal timing of growth-guiding interventions and minimizing complications in treatments of various conditions. This study aimed to evaluate the accuracy of final adult height predictions using the central peak height (CPH) method with long leg X-rays and four different multiplier tables. This study included 31 patients who underwent temporary hemiepiphysiodesis for varus or valgus deformity of the leg between 2014 and 2020. The skeletal age at surgical intervention was evaluated using the CPH method with long leg radiographs. The true final adult height (FHTRUE) was determined when the growth plates were closed. The final height prediction accuracy of four different multiplier tables (1. Bayley and Pinneau; 2. Paley et al; 3. Sanders – Greulich and Pyle (SGP); and 4. Sanders – peak height velocity (PHV)) was then compared using either skeletal age or chronological age.Aims
Methods
Aim: Preliminary results and complications of AGC Total knee Arthroplasty with early results are presented. Materials and Methods: 51 AGC Total Knee Arthroplasties were undertaken between October 2005 and September 2006. There were 22 males and 28 females. Indication for Total Knee Arthroplasty was Primary and Traumatic Osteoarthris. Brain Lab Implant dedicated Navigation was used. Results: Outliers were significantly reduced. Complications including superficial infection, late rehabilitation, and stiffness are reported. No revision was undertaken. Tips and pearls regarding navigated Arthroplasty with reference to learning curve are discussed. Discussion: Each navigation system type has its advantages and disadvantages and can be used with minimally invasive surgery (MIS) total knee arthroplasty (TKA). In addition, concerns for computer glitches, training of personnel, extra time requirements, cost and ability to demonstrate improvements in technique and results are discussed. Conclusions: Navigated Knee Arthroplasty using AGC-Biomet implant is recommended. Early experience is reported. Salient features of early learning curve are discussed. The current paper shows how the anatomic approach can influence soft tissue tension and support the surgeon during release of soft tissues in
