2003
DOI: 10.1097/01202412-200309000-00007
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The effects of limb lengthening on growth

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Cited by 11 publications
(6 citation statements)
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“…Even in our clinic currently, however, some parents of children who are predicted to require one or more lengthening procedures but who are within reasonable limb preservation and lengthening parameters elect foot amputation. The respective roles of limb preservation/reconstruction and foot ablation/prosthesis remain controversial as emphasized by the long-term amputation versus limb preservation outcome studies of Walker et al 27 and McCarthy et al 45 and likely will change with advancing reconstructive techniques. The purpose of this classification is to provide both the treating surgeon and the family with a sense of the total discrepancy to be overcome if limb-length equality is to be achieved and an appreciation that a substantial amount of the shortening to be overcome may reside in the femur.…”
Section: Discussionmentioning
confidence: 98%
“…Even in our clinic currently, however, some parents of children who are predicted to require one or more lengthening procedures but who are within reasonable limb preservation and lengthening parameters elect foot amputation. The respective roles of limb preservation/reconstruction and foot ablation/prosthesis remain controversial as emphasized by the long-term amputation versus limb preservation outcome studies of Walker et al 27 and McCarthy et al 45 and likely will change with advancing reconstructive techniques. The purpose of this classification is to provide both the treating surgeon and the family with a sense of the total discrepancy to be overcome if limb-length equality is to be achieved and an appreciation that a substantial amount of the shortening to be overcome may reside in the femur.…”
Section: Discussionmentioning
confidence: 98%
“…However, the unpredictable outcomes did not lead to clinical application of the method. However, correction of extensive shortening by lengthening is generally a prolonged undertaking and fraught with complications [27][28][29]. However, correction of extensive shortening by lengthening is generally a prolonged undertaking and fraught with complications [27][28][29].…”
Section: Discussionmentioning
confidence: 99%
“…Notably, the effect of lower extremity lengthening on physeal growth is still controversial. Although few studies have shown that physeal growth is not affected by lengthening [4][5][6], some studies have reported that physeal growth may decrease and perhaps be completely arrested [7][8][9][10][11].…”
Section: Introductionmentioning
confidence: 99%