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The Avon Longitudinal Study of Parents and Children (ALSPAC) prospective cohort was used to determine the accuracy of the Paley multiplier method for predicting leg length. Using menarche as a proxy, physiological age was then used to increase the accuracy of the multiplier.

journal of children's orthopaedics

Validation of the multiplier method for leg-length predictions on a large European cohort and an assessment of the effect of physiological age on predictions