Multiplier vs Bullets*

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 19 years at our annual Baltimore Limb Deformity Course (http://www.DeformityCourse.com). These calculations are typically performed by hand, using various formulae. Certain calculations are easy, but others involve more complicated formulae. Utilizing this app will reduce the time needed for these routine calculations and decrease errors. You need only input certain data (sex, age, length) and the app will calculate the answer by using the appropriate 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) LLD and Epiphysiodesis · Scanogram Calculations (Calculates femur/tibia lengths, overall limb length discrepancy, and amount/side of femur/tibia discrepancies) 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 (Calculates the length of tibia or femur at birth and maturity) FOOT · Foot Length · Foot Length Discrepancy · Foot Height · Foot Height Discrepancy Spine (Calculates sitting height at maturity) Oblique Plane Deformity (Calculates magnitude, orientation, and direction of an oblique plane deformity) Inclined Osteotomy (Calculates the rotational orientation and the vertical inclination of the osteotomy) This app also provides the following additional resources: · Bone Age: Elbow and Hand (Shows how to determine skeletal age by using radiographs of the elbow or hand) · 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 multiplier values that are used in the formulae · Figures that show the Solomin Foot Analysis (Deformity correction planning for the midfoot, hindfoot, and ankle using reference lines and angles provided by Dr. Leonid Solomin) · Figures that show the development of the apophyses, epiphyses, and bones · Bibliography · User guide DISCLAIMER: No growth prediction method is 100% accurate; this App is not a substitute for sound and careful clinical judgment. PRIVACY POLICY: We respect the privacy of the people who use the International Center for Limb Lengthening apps. The Multiplier app does not collect, use, or distribute any data from the users.

The companion APP for Orthobullets.com and Medbullets.com. Bullets* contains medbullets and orthobullets Topics, Questions, Techniques, Cases, Videos, and Evidence. Our Testmaster allows you to create, take, and review customized exams. Article links allows for quick review of scientific abstracts and often the PDF is provided and can be viewed on your phone. Our "Home" screen allows you to monitor a thread of educational activity within our community. All educational activity, including the Qbank, is synced with the main platform for seamless use on both your iPhone APP and computer. You can earn CME by taking Self-Assessment Exams and contributing to our free collaboration community by posting educational comments with scientific references as part of our Point of Care Learning (PoCL) activity. All CME Study Plan examinations can be taken on the iPhone and can be found on your CME Dashboard. Residents on the PASS institutional platform can take PASS exams, complete their PASS Skillmaster learning modules, and submit both Rotation and Milestone Skill Evaluations to faculty. Faculty members using PASS Pro 2.0 can grade Rotation Evaluations and Milestone Skill Evaluations on the APP, eliminating the need to log in with each evaluation.