{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:57Z","timestamp":1787755257753,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 14-year-old adolescent boy with left-sided spastic hemiplegic cerebral palsy presented with a 14\u00b0 left knee flexion contracture and resultant gait disturbance in the setting of an open distal femoral physis. He underwent subsequent anterior distal femur hemiepiphysiodesis with a suture anchor\u2013based, nonmetallic implant. He achieved full correction at the 1-year follow-up and underwent uncomplicated implant removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A low-profile, suture-based implant used for pediatric knee flexion deformity may allow surgeons to control growth in a reversible fashion by tensioning the physis while possibly avoiding some of the complications associated with currently used implants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00106","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T14:03:25Z","timestamp":1694181805000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Nonmetallic Anterior Hemiepiphysiodesis of the Distal Femur with a Low-Profile, Pretensioned Implant"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0625-0401","authenticated-orcid":false,"given":"Daniel","family":"Weltsch","sequence":"first","affiliation":[{"name":"Division of Orthopedics, Sheba Medical Center, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2189-9276","authenticated-orcid":false,"given":"Nakul S.","family":"Talathi","sequence":"additional","affiliation":[{"name":"University of California, Los Angeles, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1519-8040","authenticated-orcid":false,"given":"Rachel M.","family":"Thompson","sequence":"additional","affiliation":[{"name":"University of California, Los Angeles, Los Angeles, California"},{"name":"Orthopaedic Institute for Children, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7]]},"reference":[{"issue":"3","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.gaitpost.2009.12.006","article-title":"Natural history of flexed knee gait in diplegic cerebral palsy evaluated by gait analysis in children who have not had surgery","volume":"31","author":"Rose","year":"2010","journal-title":"Gait Posture."},{"issue":"1","key":"bib2-20240805","first-page":"79","article-title":"Prevalence of specific gait abnormalities in children with cerebral palsy: influence of cerebral palsy subtype, age, and previous surgery","volume":"25","author":"Wren","year":"2005","journal-title":"J Pediatr Orthop."},{"issue":"4","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/BF00266026","article-title":"Distal hamstring lengthening in cerebral palsy. 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