scholarly journals Examination of the Anatomy of Lower Limb Length Discrepancy (LLLD) between Inuit and Urban Populations: Orthopaedic Considerations

2006 ◽  
Vol 20 (4) ◽  
Author(s):  
Christen Marie Russo ◽  
Michael Parks ◽  
Roger Levy ◽  
Mitchell B Schaffler ◽  
Samuel Marquez
2010 ◽  
Vol 16 (3) ◽  
pp. 61-67
Author(s):  
A. P. Pozdeev ◽  
E. V. Bukharev

Research objective was the estimation of combination distraction osteosynthesis with bone plastic in treatment of children with congenital lower limb discrepancy. Results of surgical treatment of 26 children (17 girl and 9 boys) with congenital lower limb-length discrepancy are analyzed. The method consists in creation of superfluous osteogenesis in the field of prospective lengthening. The control group included 10 patients with whom lengthening was carried out by typical way. Results: at the analysis of roentgenograms faster formation of a new bone has been revealed in basic group (on the average for 7,8 days faster on each centimetre of lengthening). Combination of distraction osteosynthesis and combined bone plastics shortened the treatment period by accelerating new bone regeneration during distraction osteogenesis of the children with congenital low limb-length discrepancy.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Łukasz Pawik ◽  
Malwina Pawik ◽  
Zdzisława Wrzosek ◽  
Felicja Fink-Lwow ◽  
Piotr Morasiewicz

Abstract Background Inequalities in leg length result in functional disorders, as they impair the biomechanics of the musculoskeletal system, significantly reducing the quality of life (QoL). This study used the WHOQoL-BREF questionnaire in patients with varying degrees of lower leg shortness who had undergone treatment by the Ilizarov method, compared to a healthy control group. Methods Fifty-eight patients treated with the Ilizarov method for discrepancies in lower limb length were grouped by degree of limb equalization (group 1, 37 treated individuals with limb length discrepancy < 1 cm; group 2, 21 individuals with discrepancy ≥ 1 cm but not more than 4 cm). The control group 3 contained 61 healthy individuals. Patient quality of life (QoL) was assessed using a shortened version of the WHOQoL-BREF questionnaire, at least 24 months after the end of Ilizarov therapy. Results Control subjects obtained higher scores in all domains than subjects in both treatment groups, as well as significantly higher self-assessed QoL, and health, in the physical, psychological, social, and general lifestyle domains, as compared to those with inequalities ≥ 1 cm. Furthermore, patients with inequalities ≥ 1 cm had higher odds ratios of low self-assessment (3.28 times; p = 0.043), low self-assessment of health (4. 09 times; p = 0.047), and low physical and psychological domains (respectively 6.23 times; p = 0.005 and 8.46 times, p = 0.049) compared with patients with inequality < 1 cm. The shortened version of the WHOQoL questionnaire was used. Conclusions After at least 24 months of treatment with the Ilizarov method, patients with limb length discrepancy < 1 cm did not differ significantly from healthy individuals in the WHOQoL self-assessment of mental functioning, social, or life satisfaction.


1988 ◽  
Vol 70 (5) ◽  
pp. 791-792 ◽  
Author(s):  
D Paley ◽  
V Frankel

2016 ◽  
Vol 44 (12) ◽  
pp. 3095-3102 ◽  
Author(s):  
Joong Il Kim ◽  
Bo Hyun Kim ◽  
Ki Woung Lee ◽  
Osung Lee ◽  
Hyuk Soo Han ◽  
...  

2020 ◽  
Vol 12 (5) ◽  
pp. 109-112
Author(s):  
Bari MM ◽  
Islam Shahidul ◽  
Bari AM Shayan R

Here we are presenting a massive bone defect of upper tibia and 7 cm limb length discrepancy due to long standing osteomyelitis, which was treated successfully using Ilizarov technique and frame.


2017 ◽  
Vol 107 (5) ◽  
pp. 393-398
Author(s):  
Maria Reina-Bueno ◽  
Guillermo Lafuente-Sotillos ◽  
Jose M. Castillo-Lopez ◽  
Estela Gomez-Aguilar ◽  
Pedro V. Munuera-Martinez

Background: This study compares different lower-limb length measurements using tests of lower-limb upright full-length radiography and anteroposterior radiography of load-bearing hips. Methods: Forty-seven consecutive individuals aged 17 to 61 years (mean ± SD, 31.47 ± 11.42 years) voluntarily took part in the study; 23 (48.9%) were women and 24 (51.1%) were men. All individuals presenting a difference of 5 mm or greater between both lower limbs quantified with a tape measure were included. All of the participants signed an informed consent form to take part in the study. Two anteroposterior load-bearing radiographs were taken: one of the hip and an upright full-length radiograph of the lower limbs. Lower-limb–length discrepancy was quantified by taking different reference points. Interobserver and intraobserver reliability was assessed for each radiographic measurement. Any correlation between the different measurements were also verified. Results: Interobserver and intraobserver reliability was high for all of the measurements because the intraclass correlation was greater than 0.75 in all of the cases. There was a strong and positive correlation between the different measurements because when performing bivariate correlations with the Pearson correlation coefficient, positive values close to 1 were found. Conclusions: In this study, the different reference points reported in the upright full-length radiograph in addition to the hip radiographs are useful for assessing lower-limb–length discrepancy. The results showed that there is a correct correlation between the different measurements.


1991 ◽  
Vol &NA; (272) ◽  
pp. 235???241 ◽  
Author(s):  
JEAN-MARC GUICHET ◽  
JEFFREY M. SPIVAK ◽  
PIERRE TROUILLOUD ◽  
PAUL M. GRAMMONT

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