title: Achondroplasia and limb lengthening: Results in a UK cohort and review of the literature.
abstract: OBJECTIVE
  We aim to review the results, complications and outcomes of a single surgeon's series of lower limb lengthening in patients with achondroplasia.
  
  
  METHODS
  Ten achondroplastic children underwent limb lengthening. The patients, medical records and radiographs were reviewed.
  
  
  RESULTS
  The average age at the time of the index operation was 7.8 years. A single surgeon undertook all procedures. The average total length gain was 20.5 cm. The commonest complication was a fractured femur after removal of the frame.
  
  
  CONCLUSIONS
  Although complication rates were high (70%), none were left with any long-term sequelae and all were pleased with the results.
authors.affiliation: Great Ormond Street Hospital for Children, London, UK.
authors.forename: James
authors.initials: J
authors.lastname: Donaldson
authors.affiliation: Great Ormond Street Hospital for Children, London, UK.
authors.forename: Syed
authors.initials: S
authors.lastname: Aftab
authors.affiliation: Great Ormond Street Hospital for Children, London, UK.
authors.forename: Christopher
authors.initials: C
authors.lastname: Bradish
keywords: Achondroplasia; Distraction osteogenesis; Limb lengthening
references.citation: J Bone Joint Surg Br. 2009 Dec;91(12):1612-7
references.pmid: 19949126
references.citation: J Pediatr Orthop. 2000 Mar-Apr;20(2):151-9
references.pmid: 10739273
references.citation: Clin Orthop Relat Res. 1993 Jun;(291):236-45
references.pmid: 8504606
references.citation: Clin Orthop Relat Res. 2012 Feb;470(2):616-21
references.pmid: 21785895
references.citation: J Pediatr Orthop B. 2001 Jul;10(3):238-47
references.pmid: 11497369
references.citation: J Bone Joint Surg Br. 2012 Apr;94(4):556-63
references.pmid: 22434475
references.citation: J Bone Joint Surg Am. 1999 May;81(5):624-34
references.pmid: 10360691
references.citation: Clin Orthop Relat Res. 1990 Jan;(250):8-26
references.pmid: 2403497
references.citation: Ortop Travmatol Protez. 1983 Apr;(4):15-8
references.pmid: 6866475
references.citation: Int Orthop. 2007 Oct;31(5):587-91
references.pmid: 17053876
references.citation: J Pediatr Orthop. 1988 Jan-Feb;8(1):73-92
references.pmid: 3275690
references.citation: J Bone Joint Surg Am. 1987 Jun;69(5):684-90
references.pmid: 3597468
references.citation: Pediatr Clin North Am. 1997 Jun;44(3):537-53
references.pmid: 9168867
references.citation: J Pediatr Orthop B. 2001 Oct;10(4):339-43
references.pmid: 11727380
references.citation: Clin Orthop Relat Res. 1990 Jan;(250):138-42
references.pmid: 2403490
references.citation: J Pediatr Orthop. 2006 Nov-Dec;26(6):788-93
references.pmid: 17065948
references.citation: Clin Orthop Relat Res. 1996 Nov;(332):179-83
references.pmid: 8913161