A ratcheting epiphysiodesisplate comprises a female base half (20) havinga ratchet arm (230) and a male sliding half (30)having a series of ratchet teeth (312), the malesliding half being slidably connected to thefemale base half with the ratchet arm engagingthe ratchet teeth, one of the female and malesliding halves including a first fixation elementreceiving hole (222), (322) for receivingtherethrough a fixation element for binding theplate to a bone. The plate may further comprisea slider band (40) slidably connected to thefemale base half over the ratchet arm, or aplurality of female base halves with ratchetarms of different lengths, in order to adjust thepreset load required to release the ratchet armsfrom the ratchet teeth.
