Limb Length Inequality: Shortening of the Longer Limb

- See: Methods to Etimate Growth Potenital

- Arrest of the Growth Plate / Epiphysiodesis:
     - disruption of contra-lateral (normal) distal femora or proximal tibial growth plates  is indicated when future discrepancies are < 5.1
           cm at maturity;
     - references:
           - Closed shortening of the femur
           - Closed intramedullary osteotomies of the femur.
           - Tibial shortening for correction of leg length discrepancy and deformity: a new technique.
           - Tibial shortening for leg length discrepancy.

- Shortening of the Diaphysis:
    - at maturity, diaphysis can be shortened to make final limb length equal
    - references:
           - Leg length inequality and epiphysiodesis: review of 96 cases.
           - Treatment of leg length discrepancy with temporary epiphyseal stapling in children with juvenile idiopathic arthritis during 1957-99.
           - Results of Screw Epiphysiodesis for the Treatment of Limb Length Discrepancy and Angular Deformity. 
           - Guided Growth for the Treatment of Moderate Leg-length Discrepancy
           - Temporary epiphyseodesis for limb-length discrepancy. 8- to 15-year follow-up of 34 children



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, October 17, 2016 9:27 am