An Analysis of Referrals to a Regional Leg-Lengthening Service with Special Reference to Achondroplasia
For a number of years, in Sheffield, we have practised leg lengthening according to the Wagner technique (5). This technique requires a minimum of three operations per segment (Fig. 1) and extensive incisions. We have experienced many complications including malunion, non union and late fracture. Wagner himself reported 15 complications in a series of 58 femoral lengthenings and 11 patients required a further operation for plate exchange (6). For these reasons our service was limited to patients with asymmetry of over 4 cm and lengthenings were not performed for disproportionate short stature.
KeywordsEpiphyseal Plate Tibial Lengthenings Medial Compartment Osteoarthritis Femoral Lengthenings Extensive Incision
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