Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Problems encountered in leg shortening.

J Kenwright1, J Albinana

  • 1Nuffield Orthopaedic Centre, Headington, Oxford, England.

The Journal of Bone and Joint Surgery. British Volume
|July 1, 1991
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The influence of intermittent micromovement upon the healing of experimental fractures.

Orthopedics·2014
Same author

Control of movement and fracture stiffness monitoring with external fixation.

Orthopedics·2014
Same author

Fracture stiffness measurement in the assessment and management of tibial fractures.

Clinical biomechanics (Bristol, Avon)·2013
Same author

[Dysplasia in the development of the hip].

Revista espanola de cirugia ortopedica y traumatologia·2013
Same author

On-line strategies for determining trace levels of nitroaromatic explosives and related compounds in water.

Journal of chromatography. A·2006
Same author

Acetabular dysplasia after treatment for developmental dysplasia of the hip. Implications for secondary procedures.

The Journal of bone and joint surgery. British volume·2004
Same journal

Comorbidities in Perthes' disease: a case control study using the General Practice Research database.

The Journal of bone and joint surgery. British volume·2012
Same journal

The treatment of complex tibial shaft fractures by the Ilizarov method.

The Journal of bone and joint surgery. British volume·2012
Same journal

Posterior spinal arthrodesis for adolescent idiopathic scoliosis using pedicle screw instrumentation: does a bilateral or unilateral screw technique affect surgical outcome?

The Journal of bone and joint surgery. British volume·2012
Same journal

Anterior deltoid deficiency in reverse total shoulder replacement: a biomechanical study with cadavers.

The Journal of bone and joint surgery. British volume·2012
Same journal

Long-term results of dorsal intercarpal ligament capsulodesis for the treatment of chronic scapholunate instability.

The Journal of bone and joint surgery. British volume·2012
Same journal

Medial patellofemoral ligament reconstruction for patellar instability in patients with hypermobility: a case control study.

The Journal of bone and joint surgery. British volume·2012
See all related articles

Leg-shortening surgery can achieve significant length correction without functional loss. However, complications are common, often due to poor osteotomy stabilization, highlighting the need for specific fixation techniques.

Area of Science:

  • Orthopedic Surgery
  • Biomechanical Engineering

Background:

  • Leg length discrepancy presents a significant clinical challenge.
  • Surgical leg shortening aims to correct discrepancies and improve function.
  • Assessing complication rates and functional outcomes is crucial for surgical technique optimization.

Purpose of the Study:

  • To evaluate the incidence of complications and permanent disability following leg-shortening operations.
  • To identify the most reliable surgical methods for femoral and tibial shortening.
  • To determine optimal fixation strategies to minimize postoperative complications.

Main Methods:

  • Review of 46 leg-shortening operations (37 femoral, 9 tibial) using various surgical techniques.
  • Analysis of complication rates and permanent disability associated with each method.

Related Experiment Videos

  • Assessment of achieved shortening and functional outcomes.

    • Main Results:

    • Successful shortening up to 7.5 cm (femur) and 5 cm (tibia) was achieved without functional loss.
    • Complications occurred across all techniques, primarily due to inadequate osteotomy stabilization.
    • Open subtrochanteric osteotomy with proximal intramedullary nail locking was most reliable for femoral shortening.
    • Tibial shortening at the lower diaphyseal flare level promotes healing; intramedullary nail fixation requires cast or dual-end locking.

    Conclusions:

    • Leg shortening is feasible without functional deficit, but complication rates remain high.
    • Adequate osteotomy stabilization is paramount for successful leg-shortening surgery.
    • Specific surgical and fixation techniques are recommended for optimal femoral and tibial shortening outcomes.