We studied the quantity and rate of formation of new bone during lengthening of 17 limb segments in 10 patients using dual-energy X-ray absorptiometry (DEXA), ultrasonography and radiography. Whereas new bone was detected by both DEXA and ultrasonography within 1 to 2 weeks of distraction, it was not visible on the radiographs until 4 to 8 weeks. Limb alignment and gap measurement were accurate...

Correction of complex deformities is a challenging procedure. Long-term wearing of a fixator after correction and lengthening are inconvenient and has a high rate of complication. The goals of the surgical treatment in the presented case were: (1) correction of the deformity and lengthening of the left leg by the Taylor spatial frame (TSF, Smith and Nephew, Marl, Germany); (2) reduction in the ...

We lengthened seven first metatarsals in four patients with short great toes by callus distraction using an external fixator. Good clinical and cosmetic results were obtained. Bone lengthening is effective in patients with short great toes not only for cosmesis, but also to relieve pain and callosities on the plantar aspect of the second and third metatarsal heads. Excessive lengthening of the ...

We carried out extensible endoprosthetic replacement of the proximal or total humerus in 18 children aged between six and 12 years, after resection of primary bone tumours mainly for osteosarcoma and Ewing's sarcoma. In 11 patients we performed 44 lengthening procedures, with an average of two per child annually and a mean total extension of 29.9 mm per patient. We were able to achieve lengthen...

Femur lengthening for correction of limb length discrepancy in a child with neurological defect (hemiparesis) was showed in the paper. In this case we used distraction osteosynthesis method by Ilizarov (external fixator) with elastic stable intramedullary nailing (ESIN) method. Lengthening rate was 0.95 mm/day (total 3.5 cm), healing index was 34 days/cm. After 6 month of our treatment patient ...

Background: The aesthetic appearance of gingiva is influenced by color, contour, interdental papilla and location gingival margin. Crown lengthening one the surgical procedures performed to improve problems. It can be gingivectomy, with or without alveolar bone removal (osteotomy) obtain a good crown root ratios.
 Objective: To better ratios, resulting in more smile.
 Case Report: A 2...

PURPOSE Femoral lengthening using a circular or mono-lateral frame is a commonly used technique. Fracture at the site of the regenerate bone is a major concern especially following removal of the external fixator. This aim of this study was to assess the rate of fracture of the regenerate bone in this single surgeon series of paediatric patients and determine potential risk factors. METHODS R...

Patients with an upper motor neurone syndrome (CP) suffer from many disabling primary symptoms: spasms, weakness, and loss of dexterity. These primary 'neurogenic' symptoms often lead to secondary disabilities, muscle contractures, and tertiary effects, bone deformations. A common symptom of CP is hypertonia, with the consequence that the involved muscles remain in an excessively shortened leng...

reduction deformities, unilateral bone hyperplasias and digital lengthening have also been described(l,2,4,5). In the present case, the unusual feature found is lengthening of femur, tibia and fibula on right side. Right lower limb was 7 cm longer than the left side. Skeletal changes in this condition are secondary to external pressure and erosion, stimulation or inhibition of epiphyseal longit...

Last year’s 34th Annual Meeting of the European Paediatric Orthopaedic Society (EPOS) was held in Marseille, France, on 15–18 April. A comprehensive pre-meeting course held on 15 April was dedicated to many complex aspects of long-bone deformity correction and bonelengthening procedures. The present issue of the Journal of Children’s Orthopaedics collates manuscripts of the presentations made a...