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[Leg lengthening--historical review and current techniques].

B Tjernström1, S Olerud, G Karlström

  • 1Ortopediska kliniken, Akademiska sjukhuset, Uppsala.

Lakartidningen
|August 29, 1990
PubMed
Summary

Leg lengthening techniques have evolved significantly, with the Ilizarov technique offering substantial bone growth without bone grafting. Surgeons must manage potential joint and soft tissue complications effectively.

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering

Background:

  • Historical leg lengthening methods were associated with high complication rates.
  • Surgical intervention was often reserved for cases where amputation was the only alternative.

Observation:

  • Wagner's method in the 1960s introduced stable external fixation, allowing patient mobilization.
  • This technique required multiple surgeries including osteotomy, bone grafting, and plate removal.
  • The Ilizarov technique eliminates the need for bone grafting and enables significant limb lengthening.

Findings:

  • The Ilizarov technique allows for bone lengthening up to 15 cm.
  • Key challenges in leg lengthening involve managing joint and soft tissue complications.

Implications:

  • Surgeons must possess comprehensive knowledge of potential complications in leg lengthening procedures.
  • Establishing strong patient rapport and dedicating significant time are crucial for successful outcomes.

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