The Multiplier App automates calculations to predict mature height and bone length in children. This method was created originally in Baltimore at the University of Maryland, and subsequently developed at the International Center for Limb Lengthening (ICLL), Rubin Institute for Advanced Orthopedics (RIAO), Sinai Hospital of Baltimore.
We have taught the Multiplier Method for more than 10 years at our annual Baltimore Limb Deformity Course (www.DeformityCourse.com). These calculations are typically performed by hand, using various formulas. Certain calculations are easy, but others involve more complicated formulas. Utilizing this App will reduce the time needed for these routine calculations, and decrease errors. You need only input the values about a patient (sex, age, length) and the App will execute the required Multiplier formula.
The Multiplier App will allow you to make the following calculations:
Lower Extremity
• Limb Length Discrepancy (LLD) (Congenital)
• LLD (Developmental)
• Growth Remaining
• Bone Length
• Timing of Angular Correction
• Timing of Epiphysiodesis
• Comprehensive (Congenital) Limb Length Discrepancy and Epiphysiodesis
Upper Extremity
• LLD (Congenital)
• LLD (Developmental)
• Growth Remaining
• Bone Length
Height and CDC Growth Charts
• Calculates height at maturity, calculates height at every age, and plots the patient’s height and weight on the CDC growth charts
Achondroplasia
• Height
• Sitting Height
• Leg Length
Fetus
• Length of tibia or femur at birth and maturity
Foot
• Foot Length
• Foot Length Discrepancy
Spine
• Sitting Height at Maturity
Bone Age: Elbow
• Shows a radiographic scoring system to determine skeletal age
Bone Age: Hand
• Shows you how to use radiographic criteria to determine skeletal age
Oblique Plane Deformity
• Calculates magnitude, orientation, and direction of an oblique plane deformity
Inclined Osteotomy Rotation Angle
• Calculates the rotational orientation and the vertical inclination of the osteotomy
This APP also provides the following additional resources:
Figures that show the standard measurements for the lower limb and foot, the multiplier formulae that the app uses to perform the calculations, tables that show the values that are used in the multiplier formulae, figures that show the development of the apophyses, epiphyses, and bones, a bibliography, and a user guide.
Disclaimer: No growth prediction method is 100% accurate; this App is not a substitute for sound and careful clinical judgment.
乘数应用程序自动计算来预测成熟的身高和骨骼长度的儿童。该方法创建最初在巴尔的摩马里兰大学,以及随后开发的鲁宾研究所高级骨科(RIAO),巴尔的摩Sinai医院的国际中心的肢体延长术(ICLL)。
我们已经在我们的年度巴尔的摩肢体畸形场(www.DeformityCourse.com)教乘数法超过10年。这些计算通常是由手工进行的,使用不同的公式。某些计算很容易,但其他涉及更复杂的公式。利用这一应用将减少所需的这些例程计算的时间,并减少错误。你只需要输入的值关于病人(性别,年龄,长度)和应用程序将执行所需的乘数公式。
乘数应用程序将允许您做如下计算:
下肢
•肢体不等长(LLD)(先天性)
•LLD(发展)
•成长剩余
•骨长度
•角度修正的时机
•Epiphysiodesis时机
•全面的(先天性),肢体不等长和Epiphysiodesis
上肢
•LLD(先天性)
•LLD(发展)
•成长剩余
•骨长度
身高和CDC生长曲线图
•计算高度成熟,身高计算在每一个时代,并绘制了患者的身高和体重上的CDC生长曲线图
软骨发育不全
•高度
•坐高
•腿长
胎儿
•胫骨和股骨的诞生和成熟长度
脚丫子
•脚长度
•脚长度差异
棘
•坐高的成熟度
骨龄:弯头
•显示一个影像学评分系统来确定骨龄
骨龄:手
•演示如何使用放射标准来确定骨龄
斜平面畸形
•计算大小的斜平面畸形,取向,和方向
倾斜截骨旋转角度
•计算的旋转方向和截骨的垂直倾斜
这个应用程序还提供以下附加资源:
图,显示了下肢和脚,该应用程序使用来执行计算的乘数公式,即显示数字,显示apophyses,骨骺的发展是在乘法器公式中使用的值,表中的标准测量,并骨头,参考书目和用户指南。
免责声明:没有增长的预测方法是100%准确;这个程序是不能代替健全和认真的临床判断。
Multiplier更新内容
-In “Height and CDC Growth Charts” section, added the ability to plot a child’s height and weight on the CDC growth charts.
-In “Additional Resources,” added new illustrations that show how to use a radiograph of the left hand to determine the bone age of a child.
-In “Additional Resources,” added new images to the “Standard Measurements” section and improved their display.
-Optimized the app to support Lollipop OS.
-Fixed bug for the calculation of timing of epiphysiodesis in the distal femur.
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