[Wagner's method of leg lengthening in young children].
In 22 children under the age of 10 years a Wagner leg-lengthening procedure was started at a time when the orthosis became a nuisance. In all cases a discrepancy of more than 7.5 cm was expected at the end of growth, and an end result with full weight bearing and a minimal adjustment seemed to be within reach. In 9 children this aim has already been attained, 12 children are still under treatment and one child withdrew after a femoral lengthening complicated by an ankylotic hip joint. An account is given of a total of 35 procedures (16 tibiae, 19 femora). Complications can be prevented, or at least controlled, by careful lengthening, not exceeding 15-20% of the original length of the bone. The technique of diaphyseal callus-distraction reduced the gap-healing time to less than 6 months, while it diminished the need for cancellous bone-grafts and internal fixation. Furthermore, in at least 4 patients such a growth stimulus was observed after femoral lengthening, that a second procedure was not necessary.
Besselaar
P P
PP
afd. Orthopaedie, Academisch Medisch Centrum, Amsterdam.
Marti
R K
RK
D001848:Bone Diseases, Developmental / Q000150:complications; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007870:Leg Length Inequality / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D009984:Orthopedic Fixation Devices; D010027:Osteotomy / Q000379:methods*; D011859:Radiography
Beenverlenging volgens Wagner bij het jonge kind.