{
  "abstract": "Background/Objectives: Valgus alignment shifts load toward the lateral compartment, and even a mild shift may matter when that compartment already contains a torn meniscus and an osteochondral lesion. We describe a skeletally immature knee in which a torn discoid lateral meniscus (DLM), an osteochondral lesion of the lateral femoral condyle and mild valgus coexisted. Case Presentation: A 14-year-old boy presented with longstanding right knee pain, lateral joint line tenderness and a positive McMurray test. The hip–knee–ankle (HKA) axis showed 4° of valgus (contralateral 0.5°), with a mechanical lateral distal femoral angle (mLDFA) of 84.6°, a medial proximal tibial angle (mMPTA) of 90.0° and mechanical axis deviation (MAD) 10.78 mm lateral. Imaging and arthroscopy showed a torn, centrally shifted DLM and a 1.4 × 1.6 cm ICRS grade 4 lesion of the lateral femoral condyle. Saucerization with repair, microfracture, and temporary hemiepiphysiodesis of the medial distal femoral and proximal tibial physes were performed in one stage. Results: At five months, the HKA was 0.7° varus (mLDFA, 87.2°; mMPTA, 88.3°) and the screws were removed; the repaired meniscus measured 9 mm in width without extrusion. At two years, the HKA was neutral (mLDFA, 87.0°; mMPTA, 87.7°; MAD, 0 mm) without rebound, and the patient was asymptomatic; no validated patient-reported outcome measure was collected. Conclusions: As a short-term result in a single patient, this case illustrates the feasibility of incorporating temporary hemiepiphysiodesis into a joint-preserving strategy in a selected skeletally immature knee. It is not evidence of efficacy; longer-term follow-up is needed to judge joint preservation.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopedic Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan-si 50612, Gyeongsangnam-do, Republic of Korea; (K.B.K.); (J.M.C.); (W.C.S.); (M.U.D.); (J.Y.B.)",
    "Department of Orthopedic Surgery, College of Medicine, Dong-A University, Busan 49201, Republic of Korea;"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Kyeong Baek Kim"
    },
    {
      "affs": [
        1
      ],
      "name": "Jung Shin Kim"
    },
    {
      "affs": [
        0
      ],
      "name": "Jae Min Cho"
    },
    {
      "affs": [
        0
      ],
      "name": "Won Chul Shin"
    },
    {
      "affs": [
        0
      ],
      "name": "Min Uk Do"
    },
    {
      "affs": [
        0
      ],
      "name": "Jung Yun Bae"
    },
    {
      "affs": [
        0
      ],
      "name": "Sang-Min Lee"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/19btw2cnz7rze.bib",
  "cited_by": 0,
  "doi": "10.3390/children13101312",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13703123/?tool=EBI",
  "id": "19btw2cnz7rze",
  "issns": [
    "2227-9067"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13703123",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RJ1-570"
    ],
    [
      "openalex",
      "2746|Knee injuries and reconstruction techniques"
    ]
  ],
  "openalex": "W7214586271",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13703123/pdf/?tool=EBI",
  "pmcid": "PMC13703123",
  "pmid": null,
  "published": "2026-09-01",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/19btw2cnz7rze.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:50Z",
      "native_id": "PMC:PMC13703123",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13703123"
    },
    {
      "first_seen": "2026-10-31T14:21:26Z",
      "native_id": "08244408e56146e599360e54a6960d1d",
      "source": "doaj",
      "url": "https://doi.org/10.3390/children13101312"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Knee injuries and reconstruction techniques",
      "subfield": "surgery"
    }
  ],
  "title": "Guided Growth as a Component of Joint-Preserving Management of Complex Osteoarticular Pathology in the Growing Knee: A Pediatric Case Report",
  "title_text": "Guided Growth as a Component of Joint-Preserving Management of Complex Osteoarticular Pathology in the Growing Knee: A Pediatric Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-10-31T14:21:26Z",
  "url": "https://research.draconitic.com/paper/19btw2cnz7rze",
  "venue": "Children (Basel, Switzerland)",
  "versions": []
}