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The aim of the study was to describe the endoscopic-assisted epiphysiodesis approach and overview our 20-year expertise with it. A retrospective assessment of 44 sufferers who underwent proximal tibia and/or distal femur endoscopic-assisted epiphysiodesis was carried out. Only patients who had preoperative and postoperative scanograms with clinical adhere to-up of at least 6 months had been incorporated. All individuals had radiographic evidence of physeal fusion within 6-12 months from the index procedure.

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In financial terms, this conflicted choice can be modeled as a trade-off among the outcome utility gained by hedging (e.g., money) and the diagnostic fees it incurs (e.g., disloyalty). Individuals make inferences about their beliefs and identity from their behavior. If the diagnostic price of this self-signal and the resulting identity change are substantial, it may perhaps outweigh the outcome utility of hedging, and they may reject even extremely generous hedges. Gamblers typically gamble to attempt to win back dollars they have lost, and some gamble to relieve feelings of helplessness and anxiousness.


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