Longitudinal Growth of Congenital Shortening of Lower Extremity after Surgical Lengthening

Abstract


Based on the results of treatment of 150 patients, aged 2-15 years, 5 types of growth rate changes of the lengthened segment in early and long-term postoperative periods were detected. Stimulation of longitudinal growth takes place after primary lengthening of the segment, performed prior to prepuberty growth leap when conditions for weigh bearing of lengthened limb and its functional activity exist and are being created. Repeated lengthening of segment, significant limitation of functional load as well as reconstructive operation on foot bones exert negative influence on the following growth. Stimulation of longitudinal growth of lengthened segment is accompanied by the increase of contractive muscular capacity and peripheral hemodynamics indices in long-term period.

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