{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T06:09:11Z","timestamp":1789711751228,"version":"4.0.1"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate the clinical effect of epiphyseal block in treating children with LLD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The clinical data of 6 children with LLD who underwent epiphyseal block treatment in our hospital from March 2017 to April 2023 were collected and analyzed, including the preoperative and postoperative changes in the length of femur and tibia measured by full-length standing x-rays of both lower limbs, and the improvement of the unequal length of limbs after epiphyseal block using the \u201c8\u201d steel plate was understood and summarized. Treatment outcomes were descriptively evaluated according to the reduction in LLD, residual discrepancy after treatment, and treatment-related complications. Final residual LLD was classified as satisfactory correction (&amp;lt;15\u2005mm), partial correction (15\u201320\u2005mm), or limited correction (&amp;gt;20\u2005mm).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The six patients (all male, aged 4\u201312 years, mean 7.83\u2009\u00b1\u20092.64 years) were treated for 12\u201345 months (mean 33.67\u2009\u00b1\u200911.91 months). Mean LLD decreased from 29.67\u2009\u00b1\u20097.76\u2005mm preoperatively to 15.67\u2009\u00b1\u20099.42\u2005mm after implant removal. No major complications occurred. Implant-related issues were managed differentially: loosening by hardware exchange; valgus by removing the lateral plate (retaining the medial); varus by removing the medial plate (retaining the lateral); retained hardware was removed after subsequent axis correction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Eight-plate epiphysiodesis is not a one-stage cure for pediatric LLD; larger discrepancies require longer treatment with more variables. Nevertheless, its minimally invasive nature makes it worthwhile with rigorous preoperative evaluation, skilled surgery, and close follow-up. Crucially, complications like loosening and axis deviations demand distinct management strategies to optimize outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1907249","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:38:10Z","timestamp":1789709890000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Clinical effect of eight plate epiphyseal block on leg length discrepancy in children: a retrospective study of 6 typical cases"],"prefix":"10.3389","volume":"14","author":[{"given":"Yan","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Orthopedics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ningjing","family":"Zeng","sequence":"additional","affiliation":[{"name":"The Second Clinical Medical College, Guangzhou University of Chinese Medicine","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangxi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongliang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinfeng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiangfa","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"4104","DOI":"10.3390\/jcm9124104","article-title":"Intramedullary bone lengthening following preceding hip surgery-A case series","volume":"9","author":"Zak","year":"2020","journal-title":"J Clin 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