Exploring the Ethics of Stature Lengthening as Treatment for Height Dysphoria

Lee, Richard C.; Aulisio, Mark P.; Liu, Raymond W.

doi:10.5005/jp-journals-10080-1502

Cited by 7 publications

(4 citation statements)

References 49 publications

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“…Those studies make us think that if height has an effect on self-esteem, the underlying mechanism is dependent on others’ perception. Also, people that preferred limb lengthening surgeries showed higher self-esteem post-operatively (35). There is also a cross-sectional study that finds significant relationship between height and self-esteem in college students (36).…”

Section: Discussionmentioning

confidence: 99%

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Relationship between Physical Activity and Self-esteem of High School Students: Cross-sectional Study

Alparslan,

Özer,

Arslan

et al. 2024

Preprint

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ObjectiveThis study aimed to investigate the relationship between physical activity and self-esteem of high school students and contribute the literature from a different sociocultural area.MethodsIn this descriptive study, whole population of 10thand 11thgrade of Capa Science High School (Istanbul/Türkiye) students are invited to study. Voluntarily participating students were asked to answer the questions written on standard survey paper, under the observation of researchers. Survey papers included sociodemographic answers as well as Short Form of International Physical Activity Questionnaire to evaluate physical activity levels and Rosenberg Self-esteem Scale to evaluate self-esteem. IBM SPSS Statistics (Version 11) were used to analyse data. Level of p<0.05 was accepted as statistical significance.ResultsData of 225 persons were succesfully collected (n=278, 80.93%). 16 persons’ data was excluded from physical activity related analyses due to incomplete answers. The 71.60% (n=161) of participants were male, 27.60% (n=62) were female and rest (n=2) did not want to express their genders. Males reported higher self-esteem (p=0.002) and higher physical activity (p=0.031) than females. Self-esteem was associated with regular exercise (p=0.034) status and self-evaluted school success (p=0.001). Self-esteem correlated with participants’ height (p=0.029, r=0.146). Finally, positive correlation between self-esteem and physical activity was found. (p=0.045, r=0.140).ConclusionPhysical activity and self-esteem was correlated with each other in this study. Potential causational relation and underlying mechanisms should be investigated.

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Section: Discussionmentioning

confidence: 99%

“…Those studies make us think that if height has an effect on self-esteem, the underlying mechanism is dependent on others' perception. Also, people that preferred limb lengthening surgeries showed higher self-esteem post-operatively (35). There is .…”

Section: (Which Was Not Certified By Peer Review)mentioning

confidence: 99%

Relationship between Physical Activity and Self-esteem of High School Students: Cross-sectional Study

Alparslan,

Özer,

Arslan

et al. 2024

Preprint

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“…Stature lengthenings are more likely to be amenable to internal lengthening, often due to the lack of associated limb deformity. 45 Furthermore, bilateral stature lengthenings are more amenable to internal lengthening or hybrid techniques compared to external fixator lengthening to allow for greater patient comfort and ease of rehabilitation. 46 In contrast, patients with congenital, post-traumatic, and other diagnostic categories are more likely to have complex multiplanar deformities requiring external fixator use.…”

Section: Discussionmentioning

confidence: 99%

Trends and Practices in Limb Lengthening: An 11-year US Database Study

Sabharwal¹,

Mittal²,

Allahabadi³

et al. 2023

Strategies in Trauma and Limb Reconstruction

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A bstract Aim Over the past couple of decades, limb lengthening has evolved to encompass various implants and techniques. The purpose of this study was to (1) determine trends in the utilisation of various limb lengthening techniques for the femur and tibia in the United States, (2) determine trends in 1-year readmission rate following limb lengthening procedures and (3) to study the relationship of limb lengthening implant used and payment method used with the underlying diagnosis associated with limb shortening. Materials and methods Inpatient data were acquired using the Healthcare Cost and Utilisation Project (HCUP) database from 2005 to 2015 from seven states in the United States. Patients with an International Classification of Diseases (ICD)-9 code for limb lengthening of the femur or tibia were included. A total of 2,563 patients were included. Data were analysed using descriptive statistics, and chi-square test was used for comparison of subcategories. Linear regression analysis was used to examine trends over time. Results There was a strong linear trend towards increasing proportional use of internal lengthening of the femur from 2011 to 2015 ( R 2 = 0.99) with an increase of 10.2% per year. A similar trend towards increasing proportional use of internal lengthening of the tibia was seen from 2011 to 2015 ( R 2 = 0.87) with an increase of 4.9% per year. There was a moderate correlation showing a decrease in readmission rate of 1.07% per year from 2005 to 2015 ( R 2 = 0.55). Patients with short stature had increased use of internal lengthening and self-payment compared to patients with congenital, post-traumatic or other diagnoses. Conclusion There was increasing use of internal lengthening techniques from 2011 to 2015. Patients with short stature had higher use of internal lengthening technique and self-pay for payment method. Clinical significance Intramedullary devices have seen increasing use for limb lengthening procedures. Lengthening technique and payment method may differ by underlying diagnosis. How to cite this article Mittal A, Allahabadi S, Jayaram R, et al. Trends and Practices in Limb Lengthening: An 11-year US Database Study. Strategies Trauma Limb Reconstr 2023;18(1):21–31.

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“…Achondroplasia with rhizomelic shortening of the limbs is the most common dwarfing disorder in humans, with an estimated prevalence of 3-5 per 100,000 births [1,2]. Lower limb lengthening to increase average adult height and minimize functional impairment during daily living is controversially discussed [3][4][5]. If patients and their families desire limb lengthening, a thorough evaluation together with all involved parties should be conducted to discuss the possible benefits and short-and long-term complications of such treatment.…”

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confidence: 99%

Evaluation of simultaneous bilateral femoral distraction osteogenesis with antegrade intramedullary lengthening nails in achondroplasia with rhizomelic short stature: a retrospective study of 15 patients with a minimum follow-up of 2 years

Vogt,

Laufer,

Gosheger

et al. 2024

ActaO

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Background and purpose: Bilateral femoral distraction osteogenesis in patients with achondroplasia is insufficiently reported. We aimed to perform the first study that exclusively analyzed simultaneous bilateral femoral distraction osteogenesis with motorized intramedullary lengthening nails via an antegrade approach in patients with achondroplasia focused on reliability, accuracy, precision, and the evolving complications.Patients and methods: In this retrospective singlecenter study we analyzed patients with achondroplasia who underwent simultaneous bilateral femoral lengthening with antegrade intramedullary lengthening nails between October 2014 and April 2019. 15 patients (30 femoral segments) of median age 14 years (interquartile range [IQR] 12–15) were available for analysis. The median follow-up was 29 months (IQR 27–37) after nail implantation. Results: The median distraction length per segment was 49 mm (IQR 47–51) with a median distraction index of 1.0 mm/day (IQR 0.9–1.0), and a median consolidation index of 20 days/cm (IQR 17–23). Reliability of the lengthening nails was 97% and their calculated accuracy and precision were 96% and 95%, respectively. The most common complication was temporary restriction of knee range of motion during distraction in 10 of 30 of the lengthened segments. 1 patient was treated with 2 unplanned additional surgeries due to premature consolidation.Conclusion: The method is reliable and accurate with few complications.

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Exploring the Ethics of Stature Lengthening as Treatment for Height Dysphoria

Cited by 7 publications

References 49 publications

Relationship between Physical Activity and Self-esteem of High School Students: Cross-sectional Study

Relationship between Physical Activity and Self-esteem of High School Students: Cross-sectional Study

Trends and Practices in Limb Lengthening: An 11-year US Database Study

Evaluation of simultaneous bilateral femoral distraction osteogenesis with antegrade intramedullary lengthening nails in achondroplasia with rhizomelic short stature: a retrospective study of 15 patients with a minimum follow-up of 2 years

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