Editorial: Indications - On the Fringes and in the Mainstream

Leopold, Seth S.; Sabharwal, Sanjeev

doi:10.1007/s11999-014-3927-9

Cited by 4 publications

(7 citation statements)

References 14 publications

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“…Complications are common in cosmetic bone lengthening procedures, and they can be severe [3]. As previously suggested [2,4], longterm studies on cosmetic limb lengthening evaluating limb function and patient gains, including psychological validated outcome measurements, are warranted.…”

Section: Where Do We Need To Go?mentioning

confidence: 98%

CORR Insights®: Is there an Increase in Valgus Deviation in Tibial Distraction Using the Lengthening Over Nail Technique?

Kold

2016

Clinical Orthopaedics &Amp; Related Research

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Section: Where Do We Need To Go?mentioning

confidence: 98%

CORR Insights®: Is there an Increase in Valgus Deviation in Tibial Distraction Using the Lengthening Over Nail Technique?

Kold

2016

Clinical Orthopaedics &Amp; Related Research

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“…Critics of stature lengthening have questioned the legitimacy of medicalising height in the absence of other skeletal abnormalities. 2 The standardisation of height as an objective approach cannot escape the subjective factors rooted in cultural and ethnic differences. For example, what is labeled as “normal” distribution in height in Northern European populations certainly does not apply to other populations.…”

Section: E Thical C Onsiderationsmentioning

confidence: 99%

“…Surgical limb lengthening, performed by distraction osteogenesis, has been used to address skeletal deformities and limb-length discrepancies caused by congenital abnormalities, trauma, tumor, and infections. 1 , 2 However, its potential to cosmetically increase height in an otherwise physically healthy patient has stirred controversy within the orthopedic community. We believe that the key to the controversy is the perception of stature lengthening as either a treatment or an enhancement , as the former implies the presence of pathology while the latter does not.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Ethics of Stature Lengthening as Treatment for Height Dysphoria

Lee¹,

Aulisio²,

Liu³

2020

Strategies in Trauma and Limb Reconstruction

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A bstract Aim To promote a discussion on the ethics and justifications of stature lengthening in patients without skeletal deformity. Background Stature lengthening for height gain in patients without skeletal deformity has stirred controversy within the orthopedic community. However, current literature does not delineate the ethical issues surrounding this procedure. Improvements in the techniques, technology, and safety profile of stature lengthening warrant an ethical discussion to challenge, justify, and guide the use of this surgical procedure. Review results Examination of ethical issues leads to the distinction between the dual roles of stature lengthening as a treatment vs an enhancement . The primary focus on stature lengthening as treatment allows for exploration of “height dysphoria”—a psychological burden caused by a dissatisfaction with one's height—as the primary pathology that may justify surgical intervention. Conclusion In our opinion, additional work is required to establish “height dysphoria” as a true pathology in order to ethically justify stature lengthening as a legitimate form of treatment. Further discussion is needed to address the ethics of stature lengthening as an enhancement. Clinical significance This paper addresses salient ethical issues of stature lengthening in patients without skeletal deformity by exploring historical, contemporary, and comparative contexts. How to cite this article Lee RC, Aulisio M, Liu RW. Exploring the Ethics of Stature Lengthening as Treatment for Height Dysphoria. Strategies Trauma Limb Reconstr 2020;15(3):163–168.

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“…Treatment of idiopathic short stature (at least two standard deviations less than the mean height for the age, sex, and population) remains controversial 103,104 . Although such children can gain about 5 cm (2 inches) of adult height following exogenous growth hormone administration, long-term effects of this treatment are unknown 103 .…”

Section: Stature Lengtheningmentioning

confidence: 99%

“…Given the lack of evidence-based guidelines and the emerging popularity of internal limb-lengthening implants, the indications for stature lengthening are debatable. Studies evaluating the effect of limb lengthening on the physical and psychosocial health of individuals undergoing stature lengthening are strongly encouraged 104,[109][110][111] .…”

Section: Stature Lengtheningmentioning

confidence: 99%