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Cosmetic Limb lengthening

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https://www.readbyqxmd.com/read/27866145/cosmetic-limb-lengthening-in-a-patient-of-normal-stature-ethical-considerations
#1
Karthik Vishwanathan, Somashekhar Nimbalkar
Recently, a 23-year-old male patient underwent cosmetic limb lengthening, despite the fact that his height was that of the average Indian male (5 feet 7 inches). The patient's parents and the media criticised the orthopaedic surgeon who had performed the surgery for undertaking an unethical operation. This paper discusses the relevant clinical evidence, ethical aspects and ethical theories surrounding the case. We conclude that the surgeon's decision to perform the surgery seems to be fair and appropriate from the ethical and clinical perspectives...
November 11, 2016: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/27837313/cosmetic-lengthening-what-are-the-limits
#2
F Guerreschi, H Tsibidakis
OBJECTIVES: In the last decades, limb lengthening has not been limited to the treatment of patients with dwarfism and deformities resulting from congenital anomalies, trauma, tumor and infections, but, has also been used for aesthetic reasons. Cosmetic lengthening by the Ilizarov method with circular external fixation has been applied to individuals with constitutional short stature who wish to be taller. MATERIALS AND METHODS: From January 1985 to December 2010, the medical records of 63 patients with constitutional short stature (36 M, 27F; 126 legs) who underwent cosmetic bilateral leg lengthening using a hybrid advanced fixator according to the Ilizarov method, were reviewed, retrospectively...
December 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27826904/forearm-lengthening-management-of-elbow-and-wrist
#3
REVIEW
Franck Launay, Sébastien Pesenti
The risk and consequences of an elbow or a wrist contracture are lower during a forearm lengthening than during a lower limb lengthening. This kind of complication can mostly be avoided by an active and intensive regimen of physiotherapy. However, there are some challenges to deal with in treating the disorder multiple exostoses and the radial club hand, including the lack of consensus on the best treatment for multiple exostoses. However, it is important to realize that the evolution of multiple exostoses can lead to a radial head dislocation which will damage the pronation and the supination range of motion...
December 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27694593/outcomes-following-femoral-lengthening-an-initial-comparison-of-the-precice-intramedullary-lengthening-nail-and-the-lrs-external-fixator-monorail-system
#4
M Laubscher, C Mitchell, A Timms, D Goodier, P Calder
AIMS: Patients undergoing femoral lengthening by external fixation tolerate treatment less well when compared to tibial lengthening. Lengthening of the femur with an intramedullary device may have advantages. PATIENTS AND METHODS: We reviewed all cases of simple femoral lengthening performed at our unit from 2009 to 2014. Cases of nonunions, concurrent deformities, congenital limb deficiencies and lengthening with an unstable hip were excluded, leaving 33 cases (in 22 patients; 11 patients had bilateral procedures) for review...
October 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/26874445/bone-lengthening-using-the-fitbone-%C3%A2-motorized-intramedullary-nail-the-first-experience-in-france
#5
F Accadbled, R Pailhé, E Cavaignac, J Sales de Gauzy
INTRODUCTION: Intramedullary limb lengthening systems include mechanical systems (the Albizzia nail and the ISKD nail) as well as motorized systems with the Fitbone(®) (Wittenstein, Igersheim, Germany) and the Precice(®) (Ellipse Technologies, Irvine, CA, USA) nails. We hypothesized that limb lengthening using the Fitbone(®) nail was reliable, reproducible, and comfortable for the patient. PATIENTS AND METHODS: Between 2010 and 2013, a prospective single-center, single-operator (FA) study was conducted on patients who had undergone limb lengthening using the Fitbone(®) nail...
April 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26688988/patient-satisfaction-after-limb-lengthening-with-internal-and-external-devices
#6
COMPARATIVE STUDY
Vikrant Landge, Lior Shabtai, Martin Gesheff, Stacy C Specht, John E Herzenberg
External fixation has long been used for limb lengthening but can result in many complications, such as tethering of the soft tissues, pain, decreased joint motion, scarring, and nerve injury. Recently, a controllable, telescopic, internal lengthening nail was developed to address many of these issues and hopefully improve the overall experience for the patient. The satisfaction rates of internal and external fixation for limb lengthening were compared in 16 patients, all of whom have experienced both methods...
2015: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/26643245/cosmetic-arm-lengthening-with-monorail-fixator
#7
Hemendra Kumar Agrawal, Balvinder Singh, Mohit Garg, Vipin Khatkar, Sumit Batra, Vinod Kumar Sharma
Upper limb length discrepancy is a rare occurrence. Humerus shortening may need specialized treatment to restore the functional and cosmetic status of upper limb. We report a case of humerus lengthening of 9 cm with a monorail external fixator and the result was observed during a 2-year follow-up. Humerus lengthening needs specialized focus as it is not only a cosmetic issue but also a functional demand. The monorail unilateral fixator is more functional and cosmetically acceptable, and thus becomes an effective treatment option...
2015: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/26186315/safe-cosmetic-leg-lengthening-for-short-stature-long-term-outcomes
#8
Yasser Elbatrawy, Ibrahim Mohammed A Ragab
It is well known that limb lengthening is performed to treat limb-length discrepancies resulting from congenital anomalies and developmental problems. However, few studies discuss lengthening for cosmetic purposes. The current authors conducted a prospective study with long-term follow-up. From July 2002 through June 2007, 133 patients requested that their height be increased. Fifty-two were approved to undergo limb-lengthening surgery. Two were lost to final follow-up, leaving 50 in the study group. For all patients, the Ilizarov ring external fixator was applied with a maximum-stability technique that achieved frame stability and allowed patients to ambulate with a walker from the first week postoperatively...
July 1, 2015: Orthopedics
https://www.readbyqxmd.com/read/25983499/titanium-elastic-nailing-in-pediatric-femoral-diaphyseal-fractures-in-the-age-group-of-5-16-years-a-short-term-study
#9
Basant Kumar Bhuyan, Suryansh Mohan Singh
BACKGROUND: Management of femoral diaphyseal fracture in the age group of 5-16 years is controversial. The purpose of this study is to demonstrate the effectiveness of intramedullary fixation of femoral shaft fractures by using titanium elastic nailing system (TENS). MATERIALS AND METHODS: Between April 2011 and April 2014, 40 pediatric patients (31 boys, 9 girls) aged 5-16 years with diaphyseal femoral fractures were treated by retrograde TENS fixation. Fractures were classified according to system of Winquest and Hansen as Grade-I (n = 18), Grade-II (n = 10), Grade-III (n = 7) and compound fractures according to the Gustilo and Anderson's classification Grade-I (n = 3), Grade-II (n = 2)...
December 2014: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/25659548/correction-of-the-axial-and-appendicular-deformities-in-a-patient-with-silver-russel-syndrome
#10
Ali Al Kaissi, Rudolf Ganger, Gabriel Mindler, Christoph Karner, Klaus Klaushofer, Franz Grill
BACKGROUND: Scoliosis and limb length discrepancy are the major orthopaedic abnormalities in patients with Silver-Russel syndrome (SRS). In this paper, we describe a series of orthopaedic interventions in an attempt to overcome the progressive pathologic mechanism in a 7-year-old girl who manifested the full phenotypic features of SRS. MATERIALS AND METHODS: Unilateral hip dislocation, progressive scoliosis and limb length discrepancy have been dealt with through Pemberton osteotomy, spinal fusion and Taylor-Spatial-Frame respectively...
January 2015: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/25457332/autologous-fat-graft-as-treatment-of-post-short-stature-surgical-correction-scars
#11
Luca Maione, Antonio Memeo, Leopoldo Pedretti, Fabio Verdoni, Andrea Lisa, Valeria Bandi, Silvia Giannasi, Valeriano Vinci, Andrea Mambretti, Marco Klinger
INTRODUCTION: Surgical limb lengthening is undertaken to correct pathological short stature. Among the possible complications related to this procedure, painful and retractile scars are a cause for both functional and cosmetic concern. Our team has already shown the efficacy of autologous fat grafting in the treatment of scars with varying aetiology, so we decided to apply this technique to scars related to surgical correction of dwarfism. A prospective study was conducted to evaluate the efficacy of autologous fat grafting in the treatment of post-surgical scars in patients with short-limb dwarfism using durometer measurements and a modified patient and observer scar assessment scale (POSAS), to which was added a parameter to evaluate movement impairment...
December 2014: Injury
https://www.readbyqxmd.com/read/25224823/corr-insights%C3%A2-cosmetic-lower-limb-lengthening-by-ilizarov-apparatus-what-are-the-risks
#12
COMMENT
Kent A Reinker
No abstract text is available yet for this article.
November 2014: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/25183215/cosmetic-lower-limb-lengthening-by-ilizarov-apparatus-what-are-the-risks
#13
Konstantin I Novikov, Koushik N Subramanyam, Serghei O Muradisinov, Olga S Novikova, Elina S Kolesnikova
BACKGROUND: Compelled by the psychosocial implications of short stature, patients with short stature are increasingly undergoing distraction osteogenesis for cosmetic limb lengthening. To the degree that this is true, evaluation of the risks and benefits of this treatment are very important, but to date, there are few studies reporting on using distraction osteogenesis for this indication. QUESTIONS/PURPOSES: We reviewed a group of patients undergoing cosmetic lower-extremity lengthening in terms of (1) soft tissue challenges, (2) bone-related complications, and (3) functional and subjective clinical outcomes...
November 2014: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/24563967/humeral-lengthening-by-distraction-osteogenesis-a-safe-procedure
#14
Peter Ruette, Johan Lammens
This study was conducted to assess the safety of humeral lengthening using an Ilizarov frame. We retrospectively reviewed 26 humeral segments in 17 patients that were lengthened at our department between 1993 and 2011. There were varying aetiologies including achondroplasia, epiphyseal dysplasia, Oilier disease, trauma or infection of the proximal humeral growth-plate, unicameral bone cyst and brachial plexus injury. Mean age at start of surgery was 17.05 years (range : 5-40). The mean lengthening achieved was 8...
December 2013: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/24241386/rotationplasty-as-a-salvage-of-failed-primary-limb-reconstruction-up-to-date-review-and-case-report
#15
REVIEW
Federico Canavese, Antoine Samba, Ahmad Khan, Pierre Dechelotte, Joseph I Krajbich
We report a case of a 15-year-old girl who is a known case for proximal focal femoral deficiency. She underwent several surgical lengthening procedures. Her course was complicated by femur nonunion, knee joint dislocation, stiff knee, and final lower limb discrepancy of over 15 cm. Rotationplasty was performed to salvage her previous surgical failures and restore her function. Surgery was uneventful and the patient was able to walk with the prosthesis in a few months after index surgery. Although the outcome of rotationplasty is visually unusual, for some children restored function and physical capabilities outweigh cosmetic concerns...
May 2014: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/23893880/growth-factors-in-human-serum-during-operative-tibial-lengthening-with-the-ilizarov-method
#16
Maksim V Stogov, Svetlana N Luneva, Konstantin I Novikov
Despite the widespread clinical use of distraction osteogenesis for limb lengthening, the cellular and molecular mechanisms by which this surgical treatment promotes new bone formation in humans are not well understood. The aim of the research was to study the levels of growth factors (GFs) in the serum of patients that were undergoing tibial lengthening with the Ilizarov method of distraction osteogenesis. Those were patients with unilateral congenital discrepancy of the tibia (n = 12), unilateral posttraumatic tibial shortening (n = 7), and healthy patients that underwent cosmetic bilateral tibial lengthening (n = 10)...
December 2013: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/23326984/limb-salvage-in-tibial-hemimelia
#17
Perajit Eamsobhana, Kamolporn Kaewpornsawan
OBJECTIVE: To study the results of treatment of tibial hemimelia with limb salvage procedure in term of patient satisfaction, clinical results and complications. MATERIAL AND METHOD: From 1993 to 2007 the authors treated six cases of tibial hemimelia with limb salvage procedures. Three legs of type Ia and four legs of type IV tibial hemimelia classified by Jones classification. The age at the operation ranged from 2 to 11 years. For type Ia cases, the Brown procedure,foot centralization and ilizarov lengthening of the fibula were used to correct limb length discrepancy...
September 2012: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/21809083/correction-of-poliomyelitis-foot-deformities-with-ilizarov-method
#18
Alexander Kirienko, Andrea Peccati, Ibrahim Abdellatif, Yasser Elbatrawy, Zayed Mahmoud A Mostaf, Valentina Necci
Poliomyelitis is an infectious disease caused by a neurotrophic virus targeting anterior horn cells of lower motor neurons resulting in flaccid paralysis and represents a common condition in developing countries, and even nowadays, most of both treated and untreated cases result in foot deformities. Between 1994 and 2007, 27 patients were treated by classic ring Ilizarov fixator, aiming at producing a stable plantigrade and cosmetically acceptable foot and followed up for meanly 7.17 years. Additional procedures were performed if needed...
November 2011: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/21785895/is-bilateral-lower-limb-lengthening-appropriate-for-achondroplasia-midterm-analysis-of-the-complications-and-quality-of-life
#19
Seung-Ju Kim, Gracia Cielo Balce, Mandar Vikas Agashe, Sang-Heon Song, Hae-Ryong Song
BACKGROUND: Use of the Ilizarov technique for limb lengthening in patients with achondroplasia is controversial, with a high risk of complications balancing cosmetic gains. Although several articles have described the complications of this procedure and satisfaction of patients after surgery, it remains unclear whether lengthening improves the quality of life (QOL) of these patients. QUESTIONS/PURPOSES: We asked whether bilateral lower limb lengthenings with deformity correction in patients with achondroplasia would improve QOL and investigated the correlation between complication rate and QOL...
February 2012: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/21629378/ilizarov-hip-reconstruction-without-external-fixation-a-new-technique
#20
A H Krieg, U Lenze, C C Hasler
PURPOSE: The Ilizarov hip reconstruction is a well accepted but complication-prone operative salvage procedure in chronically dislocated hips, not least due to the long-term application of external fixation. Although the advantages of fully implantable devices are well known in limb lengthening and are described consistently, until now, external fixation has been used exclusively to perform the Ilizarov hip reconstruction procedure. We present a new technique of Ilizarov hip reconstruction with purely internal implants...
June 2010: Journal of Children's Orthopaedics
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