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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 71-B, Issue 4 | Pages 651 - 656
1 Aug 1989
Jones C Dewar M Aichroth P Crawfurd E Emery R

Ten epiphyses in seven children underwent fixed-rate distraction of 0.25 mm twice daily in an attempt to achieve percutaneous leg lengthening by chondrodiatasis. The forces generated across the growth plate were recorded by means of strain gauges incorporated into the distractors. All epiphyses fractured before 33 days of lengthening. An average gain of 6.75 cm was achieved. Epiphyseal distraction at the lower femur produced many complications, but at the upper tibial epiphysis planned lengthening was achieved, with excellent bone production and few complications.