Limb lengthening by physeal distraction.
I evaluated 10 consecutive lengthenings through the upper tibial physis in 9 patients. A bilateral frame consisting of two small-sized Wagner devices and two pairs of 4-mm transfixing pins with 5-mm-diameter central threads were used. The median lengthening was 6.7 cm. Complications were frequent. The risk of a growth disturbance is very high, and physeal distraction should therefore only be applied towards the end of the growth period.
Bjerkreim
I
I
Oslo University Orthopedic Hospital, Sophies Minde, Norway.
D000293:Adolescent; D001852:Bone Lengthening / Q000295:instrumentation / Q000379:methods*; D002648:Child; D005260:Female; D005360:Fibula / Q000601:surgery; D006801:Humans; D008297:Male; D009984:Orthopedic Fixation Devices; D010027:Osteotomy; D013977:Tibia / Q000601:surgery*