Priority 24 from the Paediatric Lower Limb Surgery PSP

UNCERTAINTY: What degree of lower limb anatomical variation (eg. knock knees, bow legs, in-toeing) justifies treatment to prevent long-term problems? (JLA PSP Priority 24)
Overall ranking 24
JLA question ID 0081/24
Explanatory note Not available for this PSP

SR: Jumar S and Sonnanis SV et al. Growth modulation for coronal deformity correction by using Eight Plates-Systematic review. J Orthop. 2018 Feb 2;15(1):168-172.

Health Research Classification System category  Musculoskeletal
Extra information provided by this PSP
Original uncertainty examples Should we correct lower limb alignment in the asymptomatic patient? ~ Does correcting the anatomical axis of the lower limbs prevent arthritis in later life? ~ How much of femoral anteversion improves spontaneously ~ what indicators in the child <8 years are there that it will improve 
Submitted by  Physiotherapist x 2 ~  Patient x 1 ~  Orthopaedic surgeon x 10 ~ GP x 2
PSP information
PSP unique ID 0081
PSP name  Paediatric Lower Limb Surgery
Total number of uncertainties identified by this PSP. 75  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 17 November 2018