Biomechanical aspects of spinal sagittal balance in achondroplasia patients during Ilizarov limb lengthening

Limb Lengthening in Patients with Achondroplasia

PURPOSE Although bilateral lower-limb lengthening has been performed on patients with achondroplasia, the outcomes for the tibia and femur in terms of radiographic parameters, clinical results, and complications have not been compared with each other. We proposed 1) to compare the radiological outcomes of femoral and tibial lengthening and 2) to investigate the differences of complications rela...

Long-term psychosocial functioning after Ilizarov limb lengthening during childhood

BACKGROUND AND PURPOSE Few studies have been concerned with the patient's perception of the outcome of limb lengthening. We describe the psychological and social functioning after at least 2 years of follow-up in patients who had had a leg length discrepancy and who had undergone an Ilizarov limb lengthening procedure. PATIENTS AND METHODS Self-esteem and perceived competence were measured in...

Sagittal plane deformity during femoral lengthening.

The purpose of this study was to determine the incidence and degree of sagittal plane deformity that occurs during limb lengthening of the femur. Twenty-one patients (25 limbs) were identified who underwent femoral lengthening. The limbs were lengthened a mean of 6.1 cm, and mean follow-up was 1.5 years. The immediate postoperative deformity in the sagittal plane was 8.3°; this deformity did no...

Limb Lengthening by Implantable Limb Lengthening Devices

Implantable limb lengthening using noninvasively adjusted telescopic nails dates back to 1983. The newest technology is the Precice (Ellipse Technologies). A retrospective study of the first 65 Precice nails was carried out for the treatment of limb length discrepancy (unilateral) and short stature (bilateral). Successful lengthening was achieved in all patients. There were numerous distraction...

Cerebrospinal Fluid and Spinal Anesthesia Parameters in Healthy Versus Opium-Addict Patients during Lower Limb Surgery