Current trends on limb length discrepancy treatment: results of a survey among 11 dedicated Italian centres.
Distractional osteogenesis
Growth modulation
Limb length discrepancy
Limb lengthening
Journal
Musculoskeletal surgery
ISSN: 2035-5114
Titre abrégé: Musculoskelet Surg
Pays: Italy
ID NLM: 101498346
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
12
10
2020
accepted:
02
05
2022
medline:
19
5
2023
pubmed:
1
7
2022
entrez:
30
6
2022
Statut:
ppublish
Résumé
Limb length discrepancies (LLD) are quite frequent, especially in lower limbs. The evolution of the available devices and the refinement of the techniques for correcting the differences in limb length have progressively improved the approach to these deformities. Nevertheless, several points still remain debated. The aim of the study was to investigate the Italian pediatric orthopedic surgeons' choices in approaching and treating LLD in both lower and upper limbs. A survey on the treatment of limb length discrepancy was sent to a group of 11 Italian orthopedic centers, specialising in limb lengthening and belonging to the Italian Society of Pediatric Orthopedics and Trauma and the Italian Society of External Fixation. Despite improvements in knowledge of bone biology and distractional osteogenesis as well as the increase in available hardware for lengthening, many aspects of LLD correction still remain debated. Both the relative rarity of the conditions which lead to significant shortening and the lack of wide groups of patients analysed at adult age, continue to be the main limitations for every surgeon who deals with LLD. Only by overcoming our own convictions and sharing our experiences in multicentric studies, may we reach our goal of developing a shared treatment protocol.
Identifiants
pubmed: 35771378
doi: 10.1007/s12306-022-00752-z
pii: 10.1007/s12306-022-00752-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
165-170Informations de copyright
© 2022. The Author(s), under exclusive licence to Istituto Ortopedico Rizzoli.
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