Bilateral femoral shortening for unaccepted tallness.
We performed bilateral femoral shortening operations on 15 skeletally mature patients (11 women and four men). Their mean height pre-operatively was 193.5 cm and they were shortened by 5 to 9 cm. We used a subtrochanteric Z-osteotomy with an AO condylar plate in 11 patients, and mid-diaphyseal osteotomy with an intramedullary locking nail in four. After an average follow-up of 8.1 years, isokinetic muscle testing showed that muscle strength was reduced bilaterally in five patients. The strength ratio between hamstrings and quadriceps muscles was normal in all those treated by subtrochanteric shortening; in those shortened at the mid-shaft the quadriceps was relatively weaker. The result was rated as excellent by 11 patients, very good by three, and good by one.
Nordsletten
L
L
University of Oslo Orthopaedic Hospital, Norway.
Holm
I
I
Steen
H
H
Follerås
G
G
Bjerkreim
I
I
D000293:Adolescent; D000328:Adult; D001827:Body Height; D001858:Bone Nails; D001860:Bone Plates; D005260:Female; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D006130:Growth Disorders / Q000523:psychology / Q000601:surgery*; D006621:Hip Joint / Q000502:physiology; D006801:Humans; D008297:Male; D009119:Muscle Contraction; D010027:Osteotomy / Q000379:methods*; D016059:Range of Motion, Articular; D013315:Stress, Psychological