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Related Concept Videos

Development of the Limb Synovial Joints01:07

Development of the Limb Synovial Joints

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Changes in the Appendicular Skeleton with Age01:09

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Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...
Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
Bones of the Upper Limb: Radius01:09

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The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
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Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

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Related Experiment Video

Updated: May 21, 2026

A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies
06:53

A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies

Published on: July 4, 2017

Limb lengthening over plate.

Ruta Kulkarni1, Nishant Singh, Govind S Kulkarni

  • 1Department of Orthopaedics, Fracture and Orthopaedic Hospital, Post Graduate Institute of Swasthiyog Pratisthan, Miraj, Maharashtra, India.

Indian Journal of Orthopaedics
|June 22, 2012
PubMed
Summary
This summary is machine-generated.

Limb lengthening over a plate offers a safer alternative to intramedullary nails, reducing infection risk. This technique successfully lengthens bone segments, with early external fixator removal possible.

Keywords:
Consolidation indexexternal fixator indexlengthening over platelimb lengthening

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Area of Science:

  • Orthopedic surgery
  • Bone regeneration
  • Limb reconstruction

Background:

  • Limb lengthening over plate avoids infection risks associated with intramedullary nails.
  • This study details the experience with a plate-based technique followed by external fixation.

Purpose of the Study:

  • To evaluate the efficacy and safety of limb lengthening using a plate fixation method.
  • To compare outcomes with traditional intramedullary nail techniques.

Main Methods:

  • A consecutive series of 15 patients (8 males, 7 females, average age 18.1 years) underwent limb lengthening.
  • Fifteen tibiae and one femur were lengthened using a plate on the proximal segment, corticotomy, and external fixator application.
  • Lengthening proceeded at 1 mm/day, with distal segment fixation upon reaching the target length.

Main Results:

  • Successful achievement of the mean target length of 4.1 cm in all patients.
  • Mean external fixation duration was 75.3 days (external fixation index: 19.2 days/cm).
  • Complications included one deep infection, three mild procurvatum deformities, and one tendo achilles contracture.

Conclusions:

  • Limb lengthening over plate enables early external fixator removal and eliminates deep intramedullary infection risks.
  • This method is suitable for pediatric patients with open physes.
  • Plate fixation provides a viable alternative for limb lengthening procedures.