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Published on: August 30, 2016
[Short stature treatment by lower limb lengthening--multicenter study from five centers]
Paweł Koczewski1, Milud Shadi, Marek Napiontek
1Katedra i Klinika Ortopedii Dzieciecej, Akademia Medyczna im. K. Marcinkowskiego w Poznaniu.
Chirurgia Narzadow Ruchu I Ortopedia Polska
|August 1, 2002
Summary
Limb lengthening surgery for short stature, particularly for cosmetic reasons, carries a high risk of complications. Careful patient selection and psychological evaluation are crucial for successful outcomes in pediatric limb reconstruction.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Limb reconstruction
Context:
- Short stature treatment in pediatric patients.
- Ilizarov device and cross-lengthening strategy for limb lengthening.
- Evaluation of outcomes, problems, obstacles, and complications in limb lengthening procedures.
Purpose:
- To evaluate the effectiveness and safety of limb lengthening surgery using the Ilizarov device in pediatric patients with short stature.
- To analyze the types and frequency of problems, obstacles, and complications encountered during treatment.
- To assess the suitability of limb lengthening for cosmetic indications.
Summary:
- 26 pediatric patients with short stature underwent limb lengthening using the Ilizarov device with a two-stage cross-lengthening strategy.
- Mean achieved height increase was 13.1 cm in patients with complete treatment.
- High rates of complications (26 in 18 patients) and problems (24 in 15 patients) were observed, including inflammation, bone healing disturbances, and axial deviations.
Impact:
- Limb lengthening surgery for short stature, especially for cosmetic reasons, has a high risk of complications.
- Psychological and psychiatric evaluations are essential for patients seeking limb lengthening for cosmetic indications.
- Findings highlight the need for careful patient selection and management to mitigate risks in pediatric limb reconstruction.
