An Analysis of Referrals to a Regional Leg-Lengthening Service with Special Reference to Achondroplasia

  • Michael Saleh
  • William John W. Sharrard
Part of the Basic Life Sciences book series (BLSC, volume 48)


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.


Epiphyseal Plate Tibial Lengthenings Medial Compartment Osteoarthritis Femoral Lengthenings Extensive Incision 
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Copyright information

© Plenum Press, New York 1988

Authors and Affiliations

  • Michael Saleh
    • 1
  • William John W. Sharrard
    • 1
    • 2
  1. 1.Dept. of Orthopaedic and Traumatic SurgeryUniv. of SheffieldUK
  2. 2.Dept. of Orthopaedic and Traumatic SurgerySheffield Children’s HospitalSheffieldUK

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