Epiphysiodesis for limb length discrepancy: a comparison of two methods

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Epiphysiodesis for limb length discrepancy: a comparison of two methods

A retrospective review of 42 patients from 1999 to 2008 with at least 1-year follow-up was performed. The type and location of epiphysiodesis, average operative time and hospital stay, complications, timing and the final limb length discrepancy (LLD) were recorded. Computer tomography scanograms and mechanical axis view with grids were done to assess LLD. Twenty-six patients underwent Canale ty...

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Comparison of three surgical epiphysiodesis techniques for the treatment of lower limb length discrepancy.

Three operative techniques for epiphysiodesis to correct lower limb length discrepancy (LLD) are compared: the Phemister technique, the percutaneous drilling-curettage technique and percutaneous epiphysiodesis using a transphyseal screw. Between 1987 and 2008, 92 patients with LLD were treated by surgical epiphysiodesis. Eighty patients were available for this retrospective study. No statistica...

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An improved spreadsheet for calculating limb length discrepancy and epiphysiodesis timing using the multiplier method

PURPOSE The multiplier method is a technique to predict limb length discrepancy (LLD) at maturity in pediatric patients. Various tools have been developed for performing the multiplier calculations to predict LLD and timing of epiphysiodesis. These include multiplier/growth applications (apps) and a spreadsheet which have helped to facilitate LLC calculations in an efficient and easy manner. We...

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Three intraoperative methods to determine limb-length discrepancy in THA.

Limb-length discrepancy (LLD) is a common concern for both surgeon and patient in the setting of elective total hip arthroplasty (THA). There is a paucity of evidence guiding surgeons to an optimal method for measuring intraoperative LLD and minimizing postoperative LLD. The primary objective of this prospective, randomized, double-blinded study was to determine which of 3 intraoperative method...

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Temporary epiphyseodesis for limb-length discrepancy

BACKGROUND AND PURPOSE For the treatment of leg-length discrepancies (LLDs) of between 2 and 5 cm in adolescent patients, several epiphyseodesis options exist and various complications have been reported. We reviewed the 8- to 15-year outcome after temporary epiphyseodesis in patients with LLD. PATIENTS AND METHODS 34 children with LLD of up to 5 cm were included in the study. Mean age at epi...

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ژورنال

عنوان ژورنال: Strategies in Trauma and Limb Reconstruction

سال: 2013

ISSN: 1828-8936,1828-8928

DOI: 10.1007/s11751-013-0180-9