Familiarity with normal growth of the young horse is critical for appropriate case selection of foals that require surgical retardation of physeal growth to correct an angular deformity that would not correct by other means.
Preoperative radiographic evaluation is critical to confirm that the deformity has the potential to respond to physeal growth retardation.
Growth retardation procedures are performed on the convex side of the physis of interest and may be combined with growth-promoting procedures on the concave side of the limb.
The single transphyseal screw has become the preferred approach to surgical retardation in many cases; however, more knowledge on the use of this technique during the rapid growth phase and physitis is required to determine if significant complications will arise
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