[Analysis of complications during lower extremity lengthening]

Lengthening is generally accepted method of treatment for extremity length discrepancy. This attractive method carries the risk of many complications that may ruin primary treatment plan. The aim of this paper was to analyze complications and their management in own material consisting of 60 extremities in 58 patients aged 8-37 years. Limb length discrepancy was caused by congenital bony hypoplasia in 44 cases, trauma in 8 and infection in 8 cases. Initial shortening ranged from 4 to 15 cm (mean 6.5 cm). Ilizarov technique was used in 20 cases, Wagner method in 6 cases and DeBastiani in 34 cases. Expected elongation has been achieved in 60% cases; in remaining 40% complications occurred. New bone formation disturbances and axial malalignement were among most severe ones. An autogenic marrow injections were used to stimulate callus formation, osteogenon was administered. Axial malalignement was corrected by osteotomy. Percentage of complications decreased as number of elongations performed increased.