Abstract
Introduction and purpose: The purpose of this paper is to assess the results of a revision of upper and lower limb lengthening procedures performed between 1998 and 2002 in our limb-lengthening unit.
Materials and methods: Twenty patients were revised, 8 males and 12 females (mean age: 12.5 years; range: 4.5 – 20). 11 of these cases had been caused by leg length discrepancy (6 congenital malformations, 2 sequelae of osteoarthritis, 1 posttraumatic, 1 exostosing disease and 1 sequela of poliomyelitis) and in 9 cases the lengthening was performed in cases of short stature (6 achondro-plasias, 2 Turner syndromes and 1 familial short stature). The global number of lengthenings was 44 (22 tibias, 15 femurs, 6 humeruses and 1 ulna). In all cases the Verona school method was employed. The external monolateral railfixator was used (with 4 or 6 pins).
Results: The global healing index was 30.1. The lowest scores were those of the humerus and the highest those of the tibia. The most frequent complication was the superficial infection of the pins (36.3%). The most frequently isolated germ in the exudates was S. epidermidis. There were no cases of deep infection. In all cases of leg length discrepancy the desired goal was achieved.
Discussion and conclusions: The healing index obtained in our series is a reliable indicator of the good results achieved by limb lengthening procedures performed in our department.
The abstracts were prepared by Dr. E. Carlos Rodríguez-Merchán, Editor-in-Chief of the Spanish Journal of Orthopaedics and Traumatology (Revista de Ortopedia y Traumatología). Correspondence should be sent to him at Sociedad Española de Cirugía Ortopédica y Traumatología (SECOT), Calle Fernández de los Ríos, 108, 28015-Madrid, Spain
