This update summarizes select articles pertaining to limb lengthening and deformity correction that were published between January 1, 2014, and December 31, 2014. ### Guided Growth Angular deformities in growing children can often be corrected with use of guided growth. Although two-hole 3.5-mm reconstruction plates with 4-mm cancellous screws provide an economical and effective alternative to design-specific, tension-band plating systems, their 10% screw breakage rate merits consideration of the use of larger (4.5-mm) cortical screws1. Caution must be used when applying medial distal-femoral temporary tension-band plates to prevent impingement or injury to the medial patellofemoral ligament2. Despite more implant-related complications, medial malleolar transphyseal screws in comparison with tension-band plates can result in faster corrections3. Ankle valgus in children with spina bifida can be effectively corrected with the use of a medial malleolar screw4. Following guided growth treatment, physical therapy readily resolves the delayed return to function that most commonly occurs in children who are older than eleven years of age and in patients who are undergoing bilateral procedures, distal femoral plating, or procedures involving four or more implants5. A modified technique for insertion of tension-band plates has decreased operative time and incision size6. Parallel compared with divergent screw configuration was favorable in a synthetic-bone guided-growth model7. Tension-band plates at the trochanteric apophysis may have a role as a non-osteotomy containment strategy for Legg-Calve-Perthes disease8. ### Limb-Length Discrepancy A comparison of lateral elbow and left hand radiographs for assessing skeletal maturity revealed that the elbow radiographs were preferred during the growth spurt and the hand radiographs were more useful following the growth spurt9. When evaluating the effectiveness of percutaneous physeal ablation with a drill and burr technique (the Canale method) compared with that of transphyseal screws (the Metaizeau method), …