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Bone lengthening: bridging joints, soft tissue releases, physiotherapy
Franck Launay1, Sébastien Pesenti2
1Service des Urgences Pédiatriques, Hôpital Timone Enfants, 264 Rue St-Pierre, 13005, Marseille, France. franck.launay@ap-hm.fr.
Journal of Children'S Orthopaedics
|November 10, 2016
Summary
Pediatric bone lengthening requires careful management of surrounding joints to prevent contractures or dislocations. Surgeons utilize physiotherapy, soft tissue release, and joint bridging to maintain joint mobility and function during limb lengthening procedures.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Limb reconstruction
Background:
- Bone lengthening in children often prioritizes the amount of length gained over joint health.
- Stretching of muscles and tendons during bone lengthening can lead to joint contractures and dislocations.
- Managing joint complications is a primary challenge for surgeons performing limb lengthening.
Approach:
- Physiotherapy is employed to improve joint suppleness and maintain range of motion.
- Soft tissue release procedures may be performed before, during, or after lengthening.
- Joint bridging serves as a last resort to protect the joint during the lengthening process.
Key Points:
- Focus on joint health during pediatric bone lengthening is crucial.
- Physiotherapy and soft tissue management are key strategies.
- Surgical interventions like joint bridging are reserved for complex cases.
Conclusions:
- Effective management of joint complications is essential for successful pediatric bone lengthening.
- A multi-faceted approach involving conservative and surgical methods ensures optimal outcomes.
- Prioritizing joint function alongside limb length is paramount in pediatric orthopedic surgery.
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