Efficacy of guided growth in coronal plane deformity correction and limb length discrepancy has been well-established. Recently, studies have explored the validity of guided growth in correction of rotational deformity through a modified method of application.

This concept has been validated in animal studies, biomechanical studies and two limited human case series through different methods.

This study evaluates the efficacy of rotational guided growth in management of increased femoral anteversion using three different constructs.

The purpose of this study is:

1. Evaluate the efficacy of different constructs in correcting increased femoral anteversion clinically and radiographically.
2. Asses possible complications of this new concept including LLD, undesired coronal, sagittal plane deformity and stiffness.

Inclusion Criteria:

• Children with increased femoral anteversion causing in-toeing with decreased agility.
• Aged 8 years and above with at least two years of bone growth remaining.

Exclusion Criteria:

• Any patient who underwent previous femoral osteotomy.
• Any patient with sick physis (skeletal dysplasias, post traumatic / post infective physeal damage, active rickets).
• Cerebral Palsy (CP) patients