Abstract
Seventeen patients were reviewed after callotasis lengthening for congenital limb length discrepancy. The average age at lengthening was 10.8 years. Length discrepancy before lengthening ranged from 4.5 cm to 12 cm for the leg, and 24 mm to 30 mm for the forearm. At completion of the lengthening process, all but one patient had their discrepancy corrected successfully. The difficulties encountered were classified into problems, obstacles and complications. All patients suffered from superficial infection, but in only one case did this become a complication, resulting in a residual femoral discrepancy of 2 cm. Of the other three patients who suffered a complication, one fractured through the newly formed bone. The fracture was treated conservatively. In two further femoral lengthenings, the fixator had to be exchanged under general anaesthesia because it had reached its maximum excursion. Callotasis appears to be a safe and reliable method for correcting congenital limb length discrepancy in children.
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- Blachier D., Trévoux L., Carlioz H. Allongements progressifs du fémur selon la technique de Wagner. A propos de 48 cas. Rev Chir Orthop Reparatrice Appar Mot. 1986;72(7):495–499. [PubMed] [Google Scholar]
- Dal Monte A., Donzelli O. Tibial lengthening according to Ilizarov in congenital hypoplasia of the leg. J Pediatr Orthop. 1987 Mar-Apr;7(2):135–138. doi: 10.1097/01241398-198703000-00003. [DOI] [PubMed] [Google Scholar]
- De Bastiani G., Aldegheri R., Renzi-Brivio L., Trivella G. Limb lengthening by callus distraction (callotasis). J Pediatr Orthop. 1987 Mar-Apr;7(2):129–134. doi: 10.1097/01241398-198703000-00002. [DOI] [PubMed] [Google Scholar]
- Gasser B., Boman B., Wyder D., Schneider E. Stiffness characteristics of the circular Ilizarov device as opposed to conventional external fixators. J Biomech Eng. 1990 Feb;112(1):15–21. doi: 10.1115/1.2891120. [DOI] [PubMed] [Google Scholar]
- Guidera K. J., Hess W. F., Highhouse K. P., Ogden J. A. Extremity lengthening: results and complications with the Orthofix system. J Pediatr Orthop. 1991 Jan-Feb;11(1):90–94. [PubMed] [Google Scholar]
- Ilizarov G. A., Lediaev V. I., Shitin V. P. Techenie reparativnoi regeneratsii kompaktnoi kosti pri distraktsionnom osteosinteze v razlichnykh usloviiakh fiksatsii kostnykh otlomkov (éksperimental'noe issledovanie) Eksp Khir Anesteziol. 1969 Nov-Dec;14(6):3–12. [PubMed] [Google Scholar]
- Ilizarov G. A. The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft-tissue preservation. Clin Orthop Relat Res. 1989 Jan;(238):249–281. [PubMed] [Google Scholar]
- Maffulli N., Hughes T., Fixsen J. A. Ultrasonographic monitoring of limb lengthening. J Bone Joint Surg Br. 1992 Jan;74(1):130–132. doi: 10.1302/0301-620X.74B1.1732241. [DOI] [PubMed] [Google Scholar]
- Monticelli G., Spinelli R. Leg lengthening by closed metaphyseal corticotomy. Ital J Orthop Traumatol. 1983 Jun;9(2):139–150. [PubMed] [Google Scholar]
- Paley D., Chaudray M., Pirone A. M., Lentz P., Kautz D. Treatment of malunions and mal-nonunions of the femur and tibia by detailed preoperative planning and the Ilizarov techniques. Orthop Clin North Am. 1990 Oct;21(4):667–691. [PubMed] [Google Scholar]
- Paley D. Current techniques of limb lengthening. J Pediatr Orthop. 1988 Jan-Feb;8(1):73–92. doi: 10.1097/01241398-198801000-00018. [DOI] [PubMed] [Google Scholar]
- Paley D. Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. Clin Orthop Relat Res. 1990 Jan;(250):81–104. [PubMed] [Google Scholar]
- Price C. T., Cole J. D. Limb lengthening by callotasis for children and adolescents. Early experience. Clin Orthop Relat Res. 1990 Jan;(250):105–111. [PubMed] [Google Scholar]
- Vade A., Eissenstat R. Radiographic features of bone lengthening procedures. Radiology. 1990 Feb;174(2):531–537. doi: 10.1148/radiology.174.2.2296662. [DOI] [PubMed] [Google Scholar]
- Vilarrubias J. M., Ginebreda I., Jimeno E. Lengthening of the lower limbs and correction of lumbar hyperlordosis in achondroplasia. Clin Orthop Relat Res. 1990 Jan;(250):143–149. [PubMed] [Google Scholar]
- Wagner H. Allongement chirurgical du fémur. A propos d'une série de cinquante-huit cas. Ann Chir. 1980 Apr;34(4):263–275. [PubMed] [Google Scholar]
- White S. H., Kenwright J. The timing of distraction of an osteotomy. J Bone Joint Surg Br. 1990 May;72(3):356–361. doi: 10.1302/0301-620X.72B3.2341426. [DOI] [PubMed] [Google Scholar]
- Young J. W., Kostrubiak I. S., Resnik C. S., Paley D. Sonographic evaluation of bone production at the distraction site in Ilizarov limb-lengthening procedures. AJR Am J Roentgenol. 1990 Jan;154(1):125–128. doi: 10.2214/ajr.154.1.2104695. [DOI] [PubMed] [Google Scholar]
- Young J. W., Kovelman H., Resnik C. S., Paley D. Radiologic assessment of bones after Ilizarov procedures. Radiology. 1990 Oct;177(1):89–93. doi: 10.1148/radiology.177.1.2399344. [DOI] [PubMed] [Google Scholar]