Excessive Aesthetic Lower Limb Elongation Management.


Journal

Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 07 01 2020
accepted: 28 02 2020
entrez: 23 5 2020
pubmed: 23 5 2020
medline: 23 5 2020
Statut: epublish

Résumé

With the evolution of surgical techniques and increased availability of cosmetic orthopedic surgery, new complications manifest. Uncontrolled lower limb elongation without limitations can be achieved by disinformation and undergoing surgery in different countries. Patients receive excessive surgical intervention due to misinforming surgeons and clinics of their previous medical history. We present a previously undocumented case of excessive lower limb elongation in an adult male patient and a treatment method for this novel pathology. Lack of personal constraint and severe aesthetic discomfort led the patient to undergo 3 elongation procedures in 3 clinics in different countries. Correction of excessive elongation is a delicate procedure, which must account for previous medical history, the patient's psychological status, and strict adherence to anatomical standards. In this case, we managed to correct the complications from hyper-elongation by restoring the normal anatomical proportions of the lower limbs. The patient consented to publication of these findings and has undergone psychiatric evaluation in a specialized clinic after corrective surgery. It is important to properly educate patients of surgical risks and to evaluate all aspects of patient psychosomatic well-being before surgical intervention. Advances in aesthetic medicine underline the development of new iatrogenic pathologies. Excessive lower limb elongation can lead to significant musculoskeletal deformation, requiring precise surgical correction with account to normal anatomical proportions.

Identifiants

pubmed: 32440451
doi: 10.1097/GOX.0000000000002793
pmc: PMC7209867
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e2793

Informations de copyright

Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

Déclaration de conflit d'intérêts

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Références

Int Orthop. 2019 Sep;43(9):2017-2023
pubmed: 30311058
Clin Orthop Relat Res. 2014 Nov;472(11):3549-56
pubmed: 25183215
Bone. 2004 May;34(5):845-8
pubmed: 15121016
J Child Orthop. 2016 Dec;10(6):597-604
pubmed: 27837313
Gait Posture. 2002 Apr;15(2):195-206
pubmed: 11869914
Orthopedics. 2015 Jul 1;38(7):e552-60
pubmed: 26186315
Bull Hosp Jt Dis (2013). 2016 Jun;74(2):145-54
pubmed: 27281320
J South Orthop Assoc. 2001 Summer;10(2):73-85; discussion 85
pubmed: 12132831
J Pediatr. 2000 Jan;136(1):96-102
pubmed: 10636982
J Bone Joint Surg Am. 2016 Aug 17;98(16):1408-15
pubmed: 27535447

Auteurs

Aleksander S Barinov (AS)

Volgograd State Medical University, Russian Federation, Volgograd, Russia.

Aleksander A Vorobyev (AA)

Volgograd State Medical University, Russian Federation, Volgograd, Russia.

Viktor V Shtatov (VV)

Volgograd State Medical University, Russian Federation, Volgograd, Russia.

Ekaterina A Barinova (EA)

Volgograd State Medical University, Russian Federation, Volgograd, Russia.

Vladimir N Nikolenko (VN)

Department of Normal Anatomy, Sechenov University and Department of Anatomy, Moscow State University, Moscow, Russia.

Alexey N Barinov (AN)

Department of Neurology and Neuropathology, Sechenov University, Russian Federation, Moscow, Russia.

Mikhail Y Sinelnikov (MY)

Institute for Regenerative Medicine, Sechenov University, Russian Federation, Moscow, Russia.

Classifications MeSH