Introduction to biomechanics
 

Welcome to our biomechanics Archive. Have fun browsing!

 

Article #81: Limb Lengthening and Limb-Length Discrepancy

(Browse for more articles)

 
Limb lengthening and reconstruction with congenital deformities such as
techniques can be used to replace missing fibular hemimelia, congenital short femur
bone and lengthen and/ or straighten and hemiatrophy will often have unequal
deformed bone segments. The procedures leg length and this may be associated
may be performed on both children and with deformity. Many adults have had this
adults who have limb length discrepancies condition since childhood and have
due to birth defects, diseases or developed back pain and hip arthritis
injuries. The limb lengthening and from the leg length discrepancy. Growth
deformity correction process works on the plate fractures and bone infections in
principle of distraction osteogenesis. children can cause stunting of growth
This is a revolutionary concept that that results in discrepancy.
reverses the long-held belief that bone Following trauma, bones can heal in a
cannot be regenerated. In this process, a shortened and deformed position
bone that has been cut during surgery can (mal-union). Sometimes the bone can even
be gradually distracted (pulled apart), remain unhealed (non-union). Limb
leading to new bone formation lengthening procedures address all of
(osteogenesis) at the site of the these issues. We have been able to
lengthening. In this way, bone segments successfully correct large deformities
can be lengthened by 15 to 100 percent of and equalize limbs with discrepancies of
their original length. We use a variety several inches. A segment of bone can be
of techniques, including the use of missing after a bone tumor, bone
monolateral (one-sided) and circular infection or severe fracture. We can
external fixation devices, to correct transport new bone to fill in this
angular deformities as well as limb defect.
length discrepancies. With these Short stature can be very disabling in
procedures, we provide opportunities for patients with dwarfism, for example. We
individuals who previously had no can lengthen both legs simultaneously to
treatment alternatives. increase stature. We have been able to
The regenerated bone is normal and does lengthen achondroplastic dwarf patients
not wear out. The muscles, nerves and 12 inches in the legs and five inches in
blood vessels grow in response to the the arms. This allows them to function
slow stretch like they do during a growth more independently and be able to reach
spurt or in pregnancy. The actual the telephone, toilet and gas pedal, for
procedure is minimally invasive and example.
requires only one or two nights in the Young adult patients with leg deformities
hospital. Patients aren't in much pain are at risk for developing arthritis as a
since the distraction is so gradual and result of their malalignment. These same
patients can continue to walk during the techniques can be used to correct severe
treatment. deformities safely and avert the need for
Children and adults can be appropriate joint replacement.
candidates for the procedure. Children






1- A- B- C- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- 21- 22- 23- 24- 25- 26- 27- 28- 29- 30- 31- 32- 33- 34- 35- 36- 37- 38- 39- 40- 41- 42- 43-