conclusions the fixator-assisted lengthening plate technique helps to maintain the stability and alignment at both sides of an osteotomy during tibial elongation. it allows the early removal of the external fixator immediately after lengthening is completed. this technique can be applied in children with open physes and in patients with a narrow medullary canal who are unsuitable for limb lengt...

BACKGROUND AND PURPOSE Bilateral tibial lengthening has become one of the standard treatments for upper segment-lower segment disproportion and to improve quality of life in achondroplasia. We determined the effect of tibial lengthening on the tibial physis and compared tibial growth that occurred at the physis with that in non-operated patients with achondroplasia. METHODS We performed a ret...

Limb lengthening by Ilizarov lengthens not just the long bone, but also the soft tissues too. Damage of the musclesduring corticotomy and their stretching during distraction play a crucial role in occurrence of complications and finallimb function. We present here a systematic codified nomenclature system of each muscle summarising all theinfluence that corticotomy and distraction have the part...

PURPOSE Although bilateral lower-limb lengthening has been performed on patients with achondroplasia, the outcomes for the tibia and femur in terms of radiographic parameters, clinical results, and complications have not been compared with each other. We proposed 1) to compare the radiological outcomes of femoral and tibial lengthening and 2) to investigate the differences of complications rela...

PURPOSE Outcome assessment after double level tibial lengthening in patients with dwarfism. METHODS Fourteen patients with dwarfism were analyzed after bilateral simultaneous double level tibial lengthening. RESULTS Average age was 15.1 years. Average lengthening was 13.5 cm. The two levels were lengthened by an average of 7.5 cm proximally and 6.0 cm distally. Concomitant deformities were ...

BACKGROUND There are many techniques that are used for limb lengthening. Lengthening a limb over a plate is an alternative choice used in children or when using an intramedullary nail is difficult. OBJECTIVES In this study, we presented a new technique for tibial lengthening using a monolateral external fixator over a lengthening plate. MATERIALS AND METHODS For tibial lengthening, a monola...

Received August 6, 2003 Abstract Achondroplasia and hypochondroplasia limb lengthening has become better accepted over last thirty years. We studied our experience on all limb lengthening for short stature over the last ten years. We reviewed patient records, X-rays and Dual Energy X-ray Absorptiometry (DEXA) scans to evaluate the changes in body proportion after limb lengthening and the compli...

The purpose of the present study was to test the hypothesis that myofascial force transmission may not be limited by compartmental boundaries of a muscle group to synergists. Muscles of the anterior tibial compartment in rat hindlimb as well as of the neighbouring peroneal compartment (antagonistic muscles) were excited maximally. Length-force data, based on proximal lengthening, of EDL, as wel...

BACKGROUND Tibial lengthening is frequently associated with gastrocsoleus contracture and some patients are treated surgically. However, the risk factors associated with gastrocsoleus contracture severe enough to warrant surgery during tibial lengthening and the consistency with which gastrocsoleus recession (GSR) results in a plantigrade foot in this setting have not been well defined. QUEST...