Complication, difficulties and problems in the application of distraction epiphysiolysis

Area of Science:

• Orthopedic Surgery
• Pediatric Orthopedics
• Regenerative Medicine

Background:

• Limb lengthening procedures are sought after in orthopedic surgery.
• These procedures are associated with a notable incidence of complications.
• Slow stretching of the growth plate is one method investigated for limb lengthening.

Purpose of the Study:

• To evaluate the efficacy and complications of epiphyseal distraction for limb lengthening in children.
• To assess the outcomes of slow stretching of the growth plate in pediatric limb lengthening.

Main Methods:

• The study included 31 children (18 girls, 13 boys) aged 7-14 years.
• Epiphyseal distraction was used to lengthen 17 femoral and 14 tibial segments.
• Mean baseline leg shortening was 6 cm.

Main Results:

• Average limb lengthening achieved was 5 cm over a mean follow-up of 6 years.
• Mean lengthening duration was 110 days, with a mean stabilization time of 48 days.
• Complications included premature growth plate closure, limb axis disturbances, infections, and hypoplastic bone formation.

Conclusions:

• Epiphyseal distraction is considered a relatively simple and less traumatic method for limb lengthening.
• Despite its advantages, the procedure is linked to potentially serious complications.