From:  Innovations in paediatric orthopaedics: a narrative review of precision, personalisation, and biological restoration

 Comparison of traditional vs. innovative implants and materials.

CategoryTraditional approachInnovative solutionKey advantage
Bone healingAutologous bone graftingBMP, MSCs, 3D scaffoldsEliminates donor-site morbidity
Limb lengtheningExternal fixatorsInternal motorized nailsEliminates pin-site infections
Growth modulationBlount staples; epiphysiodesisTension band plates; VBTReversibility; physis preservation
Scoliosis managementTraditional growing rodsMCGRReduced general anaesthesia
Fixation materialsPermanent titanium/steelBioabsorbable (magnesium)No secondary removal surgery
Intramedullary nailingPiriform-entry rigid nailsESIN; lateral-entry nailsPreserves femoral head vascularity

BMP: bone morphogenetic protein; ESIN: elastic stable intramedullary nailing; MCGR: magnetically controlled growing rods; MSCs: mesenchymal stem cells; VBT: vertebral body tethering.