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The Journal of Bone and Joint Surgery 80:1552-3 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Nicola Maffulli, M.D., M.S., Ph.D., F.R.C.S.(Orth), John Fixsen, M.Ch., F.R.C.S., Douglas Naudie, M.D., Reggie C. Hamdy, M.D., François Fassier, M.D. and Morris Duhaime, M.D.

TO THE EDITOR:

We read with interest "Complications of Limb-Lengthening in Children Who Have an Underlying Bone Disorder" (80-A: 18–24, Jan. 1998), by Naudie et al.

We fully agree with the finding that patients who have an underlying bone disorder have more complications than patients who have a posttraumatic or postinfective bone disorder. We have already noted the high prevalence of complications associated with lengthening in patients who have a congenital limb-length discrepancy. We reviewed the results of limb-lengthening in a group of seventeen patients who were an average of 10.8 years old at the beginning of lengthening. The discrepancies ranged from 4.5 to 12.0 centimeters for the lower limbs and from 24.0 to 30.0 millimeters for the forearms3,4. Although we achieved correction of the limb-length discrepancy in all but one patient, all of the patients had some type of complication, including fracture, the need for exchange of the . . . [Full Text of this Article]


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