Last year’s 34th Annual Meeting of the European Paediatric Orthopaedic Society (EPOS) was held in Marseille, France, on 15–18 April. A comprehensive pre-meeting course held on 15 April was dedicated to many complex aspects of long-bone deformity correction and bonelengthening procedures. The present issue of the Journal of Children’s Orthopaedics collates manuscripts of the presentations made a...

The purpose of this study was to understand the pros and cons of the lengthening nails which have their own mechanical mechanism; we propose a classification for "device-related complications" arising from mechanical properties of the nail itself. From March 2010 to March 2014, 115 segments of lower limb lengthening were performed using intramedullary lengthening nails (35 ISKD, 34 PRECICE1, an...

OBJECTIVE This study aimed to demonstrate that the lengthening technique of an external fixator associated with locked intramedullary nail is an efficient method that decreases the duration of the external fixation and improves the rehabilitation period. METHODS From January of 2005 to May of 2014, 31 patients with mean lower limb discrepancy of 5.31 cm were treated. The etiologies of the def...

Gradual femoral lengthening causes loss of knee motion due to soft tissue tightness. Lengthening with an intramedullary device would be expected to retain good knee movements since it avoids soft tissue transfixation. To ascertain this we looked at the knee movements recorded in 27 patients before, during and after bilateral simultaneous femoral lengthening using Albizzia nails. The mean gain w...

Leg Length Discrepancy (LLD) is a critical problem which not only impacts the quality of life but also causes other physical ailments such as limping and severe back pain. Most people had non-negligible difference in length their two legs, 0.1% population with differences 20 mm or more are diagnosed limb length. The Ilizarov external fixator commonly used treating LLD conventional therapeutic e...