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[Physeal distraction for limb length discrepancy and angular deformity].

V Langlois1, J-M Laville

  • 1Service de Chirurgie Infantile, CHD Félix-Guyon, 97405 Saint-Denis, La Réunion. chir-infantile@chd-fguyon.fr

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|June 25, 2005
PubMed
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Chondrodiastasis, a physeal distraction technique, effectively lengthens limbs and corrects angular deformities. While it carries specific risks like stiff knee, it offers rapid correction without osteotomy, making it suitable for older children with predicted limb length discrepancies.

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Growth plate manipulation

Context:

  • Physeal distraction (chondrodiastasis) leverages the growth plate's susceptibility to force for limb lengthening and deformity correction.
  • This study evaluates the efficacy and complications of chondrodiastasis in pediatric patients.

Purpose:

  • To assess the outcomes of chondrodiastasis for limb lengthening and angular deformity correction in pediatric patients.
  • To analyze the complication rates and types associated with the procedure.

Summary:

  • Twenty chondrodiastasis procedures were performed on fifteen patients (mean age 14.4 years) for trauma, deformation, infection, or malformation.
  • Mean lengthening achieved was 4.75 cm, with a mean angular correction of 22.2 degrees.
  • Epiphyseal detachment was successful in all cases, with a mean follow-up of 26.1 months. Complications included 17 benign and 6 serious events.

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Impact:

  • Chondrodiastasis provides rapid in situ correction of limb length discrepancies and angular deformities without osteotomy.
  • The procedure sterilizes the growth plate, limiting its future growth potential, thus indicating its use for preventive lengthening in older children.
  • It offers adjustable correction and can be performed with weight-bearing, respecting vascular supply to regenerate bone.