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Summary
Wagner
Area of Science:
- Orthopedic surgery
- Limb reconstruction
- Pediatric orthopedics
Background:
- Wagner's technique is a method for limb lengthening.
- This study reviews its application in femoral and tibial lengthening.
Observation:
- 18 femoral and 7 tibial lengthenings were analyzed.
- Average lengthening was 5.7 cm (femoral) and 5.6 cm (tibial).
- Congenital shortening was present in 12 patients.
Findings:
- Complications included nonunion (2), stress fractures (2), pin tract infections (15), and deep infections (3).
- Other complications: patellar dislocation, tibial subluxation, peroneal nerve palsy.
- No hypertension observed; 5/25 patients had no complications.
Implications:
- Wagner's technique requires precision and frequent complications are expected.
- Complications are often treatable, signifying an advance in limb length inequality management.
- Soft tissue excision is recommended for congenital shortening.