Limb lengthening in the treatment of posteromedial bowing of the tibia

Journal of Children's Orthopaedics
J Eric GordonMark L Miller

Abstract

Posteromedial bowing of the tibia is an uncommon but recognized congenital lower extremity deformity in children that can lead to limb length discrepancy (LLD) and residual angulatory deformity. The purpose of this study is to report a series of children at a single institution with posteromedial bowing treated by lengthening. A retrospective review was carried out at our institution identifying 16 patients who were treated with limb lengthening for posteromedial bowing of the tibia and followed to skeletal maturity. Projected LLD was a mean of 7.7 cm (range 5.0 cm to 14.2 cm). Three patients were treated in a staged fashion with lengthening and deformity correction at age three to four years and subsequent definitive tibial lengthening. The remaining 13 patients were treated with limb lengthening approaching adolescence using circular external fixation. All patients were pain free and ambulated without a limp at final follow-up. The mean final LLD was 0.3 cm short. In spite of correction of distal tibial shaft valgus in 11 of the 16 patients, eight of the 16 (50%) required later correction of persistent, symptomatic ankle valgus by either hemiepiphyseodesis (seven patients) or osteotomy (one patient). Children with posteromedi...Continue Reading

References

Oct 1, 1976·Postgraduate Medicine·R N Hensinger
Mar 1, 1987·Journal of Pediatric Orthopedics·G De BastianiG Trivella
Jan 1, 1974·Clinical Orthopaedics and Related Research·J M RathgebH R Cowell
Apr 1, 1980·Acta Orthopaedica Scandinavica·S S Yadav, S Thomas
Apr 8, 1998·Current Opinion in Pediatrics·J E Herzenberg, D Paley
Apr 25, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·P E ZollingerA F Diepstraten
Nov 1, 2000·The Journal of Bone and Joint Surgery. American Volume·D PaleyJ R Bowen
Sep 25, 2008·Journal of Pediatric Orthopedics·Sanjeev SabharwalMichele Edgar
Mar 24, 2009·Journal of Pediatric Orthopedics·J Eric GordonPerry L Schoenecker
Apr 3, 2009·Journal of Pediatric Orthopedics. Part B·Hitesh H ShahBenjamin Joseph
Jul 9, 2010·Journal of Pediatric Orthopedics. Part B·Ashok N JohariAlaric J Aroojis
Nov 22, 2011·Journal of Pediatric Orthopedics·Peter M StevensMan Hung
Oct 17, 2012·Strategies in Trauma and Limb Reconstruction·S D KaufmanJ A Fernandes
Jan 7, 2014·Journal of Pediatric Orthopedics. Part B·Marek Napiontek, Milud Shadi
May 1, 2018·Journal of Children's Orthopaedics·J WrightS Tennant

❮ Previous
Next ❯

Citations

Aug 14, 2021·Journal of Pediatric Orthopedics·Bhushan SagadeMilind Chaudhary

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Orthopedics
S Chmell, W H Bunch
Strategies in Trauma and Limb Reconstruction
S D KaufmanJ A Fernandes
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Thanase AriyawatkulPerajit Eamsobhana
Journal of Pediatric Orthopedics. Part B
Ashok N JohariAlaric J Aroojis
© 2021 Meta ULC. All rights reserved