Leg Lengthening

Bone debridement and limb lengthening in type III open tibial shaft fractures: No infection or nonunion in 9 patients

“…Dead bone is a medium for bacterial colonization and must be debrided (Hierholzer and Hierholzer 1982). The numerous techniques for limb lengthening have removed this last objection to excision of all devitalized bone (Schrodt et al 1971, Manning 1978, Wagner 1978, Hood and Riseborough 1981, Kempf et al 1986, Paley et al 1990). Conventional methods with massive cancellous grafts have proved to be inferior to callus distraction, as regards major complications (Cierny and Zorn 1994).…”

Forces measured during femoral lengthening in children

“…A modified external fixator was used for femcra! lengthenkgs; Manning (1978) reviewed 33 subjects with femoral lengthenings by this technique. Non union ir, femoral lengthening was less of a problem compared with iibid lengthening, bur ten&n I:r the fascia lata caused knee stiffness and valgus deformity.…”

Sagittal Plane Deformity During Femoral Lengthening

“…imb-lengthening procedures are commonly performed in children primarily to correct limb-length inequality caused by a variety of etiologies. [1][2][3][4] Although these techniques are often successful at achieving their primary goal of limb-length equality and angular correction, complications are common. [5][6][7][8][9][10] Complication rates vary depending on the underlying etiology, location of the limb lengthening, degree of lengthening, defi nition of complication, and experience of the medical team.…”