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Bilateral double level tibial lengthening in dwarfism.

Rolf D Burghardt1, Koichi Yoshino2, Naoya Kashiwagi2

  • 1Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.

Journal of Orthopaedics
|November 14, 2015
PubMed
Summary

Double level tibial lengthening in dwarfism patients achieved significant limb lengthening, averaging 13.5 cm. Despite complexity, this surgical approach yields gratifying outcomes for limb length discrepancy.

Keywords:
AchondroplasiaBone lengtheningDwarfismExternal fixatorTibia

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Limb reconstruction

Background:

  • Dwarfism often presents with significant limb length discrepancies.
  • Tibial lengthening is a common surgical intervention to address these discrepancies.

Purpose of the Study:

  • To assess outcomes of double level tibial lengthening in patients with dwarfism.
  • Evaluate the efficacy and challenges of simultaneous bilateral tibial lengthening.

Main Methods:

  • Retrospective analysis of 14 dwarfism patients undergoing bilateral simultaneous double level tibial lengthening.
  • Surgical technique involved lengthening at two distinct tibial levels.
  • External fixation was utilized for bone consolidation.

Main Results:

  • Average patient age was 15.1 years.
  • Mean total tibial lengthening achieved was 13.5 cm (7.5 cm proximal, 6.0 cm distal).
  • Average external fixation duration was 8.8 months, with a healing index of 0.7 months/cm.

Conclusions:

  • Bilateral double level tibial lengthening is a complex procedure for dwarfism.
  • The surgical approach provides gratifying limb lengthening results despite its difficulty.