OBJECTIVE To report muscle strength, power, and function after limb-lengthening surgery performed by using the Ilizarov technique. DESIGN Prospective, longitudinal observational study of a cohort of consecutive patients who underwent limb-lengthening distraction followed up for 2 years after surgery. SETTING National Health Service hospital specializing in orthopedic surgery. PARTICIPANTS...

BACKGROUND The treatment of congenital pseudarthrosis of the tibia remains difficult and controversial. The purpose of this study was to evaluate the long-term results of a technique consisting of excision of the pseudarthrosis, autologous bone-grafting, and insertion of a Williams intramedullary rod into the tibia. METHODS Twenty-one consecutive patients with congenital pseudarthrosis of the...

BACKGROUND There is no consensus whether the use of the extramedullary femoral cutting guide takes advantage over the intramedullary one in total knee arthroplasty. The aim of this study was to compare the extramedullary femoral alignment guide system with the conventional intramedullary alignment guide system for lower limb alignment, blood loss, and operative time during total knee arthroplas...

We reviewed retrospectively 22 patients (23 limb segments) with fibular hemimelia treated by amputation or limb lengthening to evaluate these methods of treatment. There were 12 boys and 10 girls, all with associated anomalies in the lower limbs. Twelve patients (13 limb segments) had early amputation and prosthetic fitting and ten had tibial lengthening using the Ilizarov technique. At the lat...

Extensive limb lengthening (ELL) was completed in 75 patients: 66 achondroplasia and 9 hypochondroplasia. The average 27 cm for (12–40 cm) 17 hypochondroplasia (range 10–25 cm). There were 48 females males. Lengthening done either by 2-segment (14 patients; both tibias and/or femurs) or 4-segment lengthenings (64 femurs at the same time). Most patients also had bilateral humeral lengthening. Pa...