Growth Patterns After Lengthening of Congenitally Short Lower Limbs in Young Children

SUMMARYThe purpose of this study was to assess growth patterns after lengthening of the congenitally short femur or tibia in children younger than 6 years. Twenty such children underwent 28 bone segment lengthenings (13 femora and 15 tibiae) by distraction osteogenesis. Our results show that femoral...

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Veröffentlicht in:Journal of pediatric orthopaedics 2000-03, Vol.20 (2), p.137-145
Hauptverfasser: Sabharwal, Sanjeev, Paley, Dror, Bhave, Anil, Herzenberg, John E
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container_title Journal of pediatric orthopaedics
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creator Sabharwal, Sanjeev
Paley, Dror
Bhave, Anil
Herzenberg, John E
description SUMMARYThe purpose of this study was to assess growth patterns after lengthening of the congenitally short femur or tibia in children younger than 6 years. Twenty such children underwent 28 bone segment lengthenings (13 femora and 15 tibiae) by distraction osteogenesis. Our results show that femoral lengthening in children younger than 6 years does not lead to growth inhibition, whereas isolated femoral lengthening may be associated with growth stimulation. Isolated tibial lengthening in children younger than 6 years does not lead to growth inhibition, whereas simultaneous femoral and tibial lengthening or two tibial lengthenings in close succession can lead to tibial growth inhibition.
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Twenty such children underwent 28 bone segment lengthenings (13 femora and 15 tibiae) by distraction osteogenesis. Our results show that femoral lengthening in children younger than 6 years does not lead to growth inhibition, whereas isolated femoral lengthening may be associated with growth stimulation. Isolated tibial lengthening in children younger than 6 years does not lead to growth inhibition, whereas simultaneous femoral and tibial lengthening or two tibial lengthenings in close succession can lead to tibial growth inhibition.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/00004694-200003000-00002</identifier><identifier>PMID: 10739271</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Age Factors ; Biological and medical sciences ; Child ; Child, Preschool ; Female ; Femur - growth &amp; development ; Femur - surgery ; Humans ; Ilizarov Technique ; Leg Length Inequality - congenital ; Leg Length Inequality - surgery ; Male ; Medical sciences ; Multivariate Analysis ; Orthopedic surgery ; Predictive Value of Tests ; Regression Analysis ; Sex Factors ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tibia - growth &amp; development ; Tibia - surgery</subject><ispartof>Journal of pediatric orthopaedics, 2000-03, Vol.20 (2), p.137-145</ispartof><rights>Copyright © 2000 Wolters Kluwer Health, Inc. 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Twenty such children underwent 28 bone segment lengthenings (13 femora and 15 tibiae) by distraction osteogenesis. Our results show that femoral lengthening in children younger than 6 years does not lead to growth inhibition, whereas isolated femoral lengthening may be associated with growth stimulation. Isolated tibial lengthening in children younger than 6 years does not lead to growth inhibition, whereas simultaneous femoral and tibial lengthening or two tibial lengthenings in close succession can lead to tibial growth inhibition.</description><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Femur - growth &amp; development</subject><subject>Femur - surgery</subject><subject>Humans</subject><subject>Ilizarov Technique</subject><subject>Leg Length Inequality - congenital</subject><subject>Leg Length Inequality - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multivariate Analysis</subject><subject>Orthopedic surgery</subject><subject>Predictive Value of Tests</subject><subject>Regression Analysis</subject><subject>Sex Factors</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tibia - growth &amp; development</subject><subject>Tibia - surgery</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0UFLwzAUB_AgipvTryA5iLdqkpc2yXEMncJAQXfwVNI2XatZMpuWsW9vxiaCgcd74f3I4R-EMCV3lChxT-LhmeIJ208QK9kP7ASNaQoqYakgp2hMmKBJJpQcoYsQPgmhAjicoxElAlRcjtFy3vlt3-BX3femcwFP69jxwrhV3xjXuhX2NZ55t4qXXlu7w2-N73q88Nu9a9dFwK3DH36IdNa0tuqMu0RntbbBXB37BC0fH95nT8niZf48my6SEiBjSQ0gKJMZM5JlTOraQKnTLE0151IUFQVWFVVWChBcSZPVCoAyYpRilSmhhgm6Pby76fz3YEKfr9tQGmu1M34IuSBKUc5UhNdHOBRrU-Wbrl3rbpf_BhHBzRHoUGpbd9qVbfhzQGQq08j4gW29jTmFLzvEGPLGaNs3OaGMU1Dy_7fAD3EyfGY</recordid><startdate>200003</startdate><enddate>200003</enddate><creator>Sabharwal, Sanjeev</creator><creator>Paley, Dror</creator><creator>Bhave, Anil</creator><creator>Herzenberg, John E</creator><general>Copyright Wolters Kluwer Health, Inc. 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Graft diseases</topic><topic>Tibia - growth &amp; development</topic><topic>Tibia - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sabharwal, Sanjeev</creatorcontrib><creatorcontrib>Paley, Dror</creatorcontrib><creatorcontrib>Bhave, Anil</creatorcontrib><creatorcontrib>Herzenberg, John E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sabharwal, Sanjeev</au><au>Paley, Dror</au><au>Bhave, Anil</au><au>Herzenberg, John E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Growth Patterns After Lengthening of Congenitally Short Lower Limbs in Young Children</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>2000-03</date><risdate>2000</risdate><volume>20</volume><issue>2</issue><spage>137</spage><epage>145</epage><pages>137-145</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>SUMMARYThe purpose of this study was to assess growth patterns after lengthening of the congenitally short femur or tibia in children younger than 6 years. Twenty such children underwent 28 bone segment lengthenings (13 femora and 15 tibiae) by distraction osteogenesis. Our results show that femoral lengthening in children younger than 6 years does not lead to growth inhibition, whereas isolated femoral lengthening may be associated with growth stimulation. Isolated tibial lengthening in children younger than 6 years does not lead to growth inhibition, whereas simultaneous femoral and tibial lengthening or two tibial lengthenings in close succession can lead to tibial growth inhibition.</abstract><cop>Hagerstown, MD</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>10739271</pmid><doi>10.1097/00004694-200003000-00002</doi><tpages>9</tpages></addata></record>
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subjects Age Factors
Biological and medical sciences
Child
Child, Preschool
Female
Femur - growth & development
Femur - surgery
Humans
Ilizarov Technique
Leg Length Inequality - congenital
Leg Length Inequality - surgery
Male
Medical sciences
Multivariate Analysis
Orthopedic surgery
Predictive Value of Tests
Regression Analysis
Sex Factors
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tibia - growth & development
Tibia - surgery
title Growth Patterns After Lengthening of Congenitally Short Lower Limbs in Young Children
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