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The Journal of Bone and Joint Surgery 81:1788-9 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Nicola Maffulli, M.D., M.S., Ph.D., F.R.C.S.(Orth), John A. Fixsen, M.Ch., F.R.C.S., Kenneth J. Noonan, M.D. and Manuel Leyes, M.D.

TO THE EDITOR:

We congratulate Noonan et al. for the depth of analysis in their article "Distraction Osteogenesis of the Lower Extremity with Use of Monolateral External Fixation. A Study of Two Hundred and Sixty-one Femora and Tibiae" (80-A: 793–806, June 1998). However, we take exception to the statement: "Reviews of the results in larger groups of patients from Europe ... or the Soviet Union ... have lacked sufficient detail, making it difficult to draw any valid conclusions from the data. Finally, most studies have combined the results of distraction osteogenesis of the tibia and the femur."

This statement is, at best, misleading and probably reflects the fact that Noonan et al. did not perform an in-depth search of the literature. Three years ago, we used an approach that was remarkably similar to theirs and performed a review of 281 lower-limb lengthenings in 240 patients who were managed for congenital, . . . [Full Text of this Article]


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