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Review Question - QID 2227

QID 2227 (Type "2227" in App Search)
A 9-year-old boy who sustained the injury in Figure A following a motor vehicle accident. He has been followed yearly for a continued leg length discrepancy. At the age of 14, with a LLD of 4.2cm, the decision is made to proceed with an epiphysiodesis of the contralateral distal femur and proximal tibia. Fusion of the growth plate was achieved. At 18 years of age, he is found to have an apparent LLD of 3cm. What is the most common reason for this persistent LLD?
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