Abstract
Relative femoral shortening length at the subtrochanteric (ST) and mid-diaphyseal (MD) level was compared with isokinetic muscle strength more than 2 years postoperatively. For the ST level no upper limit for shortening length could be detected. For MD osteotomies the relative shortening length was negatively correlated to muscle strength. There was a significant difference at the MD level between those shortened more or less than 10%, indicating an upper limit of 10% of the femoral length for regaining normal muscle strength. For correction of leg length inequality and for shortening of unaccepted tallness, these results should be taken into account when choosing the level for osteotomy.
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References
Crenshaw AH (1992) Campbell's operative orthopaedics, 8th edn. Mosby Year Book, St. Louis
Holm I, Nordsletten L, Steen H, Folleras G, Bjerkreim I (1994) Muscle function after mid-shaft femoral shortening. A prospective study with a two year follow-up. J Bone Joint Surg [Br] 76:143–146
Kempf I, Grosse A, Abalo C (1986) Locked intramedullary nailing; its application to femoral and tibial axial, rotational, lengthening, and shortening osteotomies. Clin Orthop 212:165–173
Kenwright J, Albinana J (1991) Problems encountered in leg shortening. J Bone Joint Surg [Br] 73:671–675
Leivseth G, Reikerås O (1992) Thigh muscle atrophy after femoral shortening - vastus intermedius cross-section studied in osteotomized rats. Acta Orthop Scand 63:427–429
Nordsletten L, Holm I, Steen H, Folleras G, Bjerkreim I (1992) Bilateral femoral shortening for unaccepted tallness. J Bone Joint Surg [Br] 74:406–408
Olerud S, Wallenstein R, Olsson E (1984) Muscle strength after bilateral femoral osteotomy. J Bone Joint Surg [Br] 66:792–793
Persson BM, Unander-Scharin L, Wiberg G (1978) Bilateral femoral shortening for overgrowth in young adults. Arch Orthop Trauma Surg 92:123–126
Szepesi K, Rigö J, Szücs G (1990) Treatment of leg length discrepancy by subtrochanteric shortening of the femur. J Pediatr Orthop 10:183–185
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Nordsletten, L., Holm, L., Steen, H. et al. Muscle function after femoral shortening osteotomies at the subtrochanteric and mid-diaphyseal level. Arch Orthop Trauma Surg 114, 37–39 (1994). https://doi.org/10.1007/BF00454734
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DOI: https://doi.org/10.1007/BF00454734