scholarly journals Surgical Treatment of Leg Length Discrepancy and Knee Flexion Contracture Associated with a Congenital Absence of Quadriceps

2021 ◽  
pp. 270-277
Author(s):  
Elad Holzer ◽  
Philippe Moisan ◽  
Doron Keshet ◽  
Mitchell Bernstein
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Knee Flexion ◽  
Limb Lengthening ◽  
Flexion Contracture ◽  
Leg Length Discrepancy ◽  
Congenital Absence ◽  
Leg Length ◽  
Length Discrepancy ◽  
Knee Flexion Contracture

We report the case of an 18-year-old male with congenital absence of quadriceps and hypoplasia of the patella who presented with a significant leg length discrepancy (LLD) and knee flexion contracture. Surgical management was aimed toward lengthening the limb, stabilizing the joint, and correcting the knee flexion contracture. Correction of a significant congenital LLD and knee flexion contracture poses challenges due to long-standing altered biomechanics. These are rare conditions for which no accepted surgical algorithms exist. It is essential to anticipate the biomechanical consequences of limb lengthening and flexion contracture correction that might arise and plan comprehensive interventions accordingly.

scholarly journals PERBEDAAN PANJANG TUNGKAI (LEG LENGTH DISCREPANCY) DALAM ORTHOPAEDI

2017 ◽  
Vol 10 (1) ◽  
pp. 10
Author(s):  
Bambang Widiwanto
Keyword(s):  
Flexion Contracture ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Length Discrepancy ◽  
Pin Track ◽  
Keywords Leg Length Discrepancy

Masalah leg length discrepancy dalam orthopaedi bukan hanya permasalahan kosmetik, tetapi juga permasalahan fungsional. Ada empat jenis terapi yang memungkinkan untuk menyeimbangkan panjang tungkai : (1) sepatu tambahan atau konversi dengan prostetik (2) epiphysiodesis pada sisi tungkai yang panjang (3) pemendekan pada sisi tungkai yang panjang (4) pemanjangan pada sisi tungkai yang pendek. Kombinasi antara pemanjangan pada ipsilateral dan epiphysiodesis pada kontralateral dapat digunakan pada ketidaksamaan yang bermakna untuk mengurangi jumlah pemanjangan yang dibutuhkan. (Champbell,2007) Semua tipe alat dan teknik pemanjangan tungkai memiliki komplikasi. (1) Pin Track Infection (2) berhubungan dengan otot, terjadi Flexion contracture (3) Subluksasi/ dislokasi sendi (4) infeksi, pseudoarthrosis, plate patah dan malunion. (Stanitski ,1999) Keywords : Leg length discrepancy, terapi, komplikasi.

scholarly journals Lengthening Reconstruction Surgery for Fibular Hemimelia: A Review

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 467
Author(s):  
Corey B. Fuller ◽  
Claire E. Shannon ◽  
Dror Paley
Keyword(s):  
External Fixation ◽  
Distal Tibia ◽  
Limb Lengthening ◽  
Valgus Deformity ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Length Discrepancy ◽  
Fibular Hemimelia ◽  
Reconstruction Methods ◽  
Poor Outcomes

Fibular hemimelia (FH) presents with foot and ankle deformity and leg length discrepancy. Many historic reconstructions have resulted in poor outcomes. This report reviews modern classification and reconstruction methods. The Paley SHORDT procedure (SHortening Osteotomy Realignment Distal Tibia) is designed to correct dynamic valgus deformity. The Paley SUPERankle procedure (Systematic Utilitarian Procedure for Extremity Reconstruction) is designed to correct fixed equino-valgus foot deformity. The leg length discrepancy in FH is successfully treated with serial lengthening and epiphysiodesis. Implantable intramedullary lengthening devices have led to all internal lengthenings. Recent advancements in techniques and implants in extramedullary implantable limb lengthening (EMILL) have allowed internal lengthenings in younger and smaller patients, who would traditionally require external fixation. These new internal techniques with lengthenings of up to 5 cm can be repeated more easily and frequently than external fixation, reducing the need to achieve larger single-stage lengthenings (e.g., 8 cm). Modern reconstruction methods with lengthening are able to achieve limb length equalization with a plantigrade-stable foot, resulting in excellent functional result comparable or better than a Syme’s amputation with prosthetic fitting.

Changes in patient-perceived leg length discrepancy following total hip arthroplasty

2021 ◽  
Author(s):  
Kentaro Iwakiri ◽  
Yoichi Ohta ◽  
Takashi Fujii ◽  
Yukihide Minoda ◽  
Akio Kobayashi ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Total Hip ◽  
Length Discrepancy

scholarly journals Epiphysiodesis for the treatment of tall stature and leg length discrepancy

2021 ◽  
Author(s):  
Madeleine Willegger ◽  
Markus Schreiner ◽  
Alexander Kolb ◽  
Reinhard Windhager ◽  
Catharina Chiari
Keyword(s):  
Surgical Planning ◽  
Multidisciplinary Approach ◽  
Treatment Options ◽  
Bone Age ◽  
Leg Length Discrepancy ◽  
Tall Stature ◽  
Complication Rates ◽  
Leg Length ◽  
Growth Prediction ◽  
Length Discrepancy

SummaryPainful orthopedic conditions associated with extreme tall stature and leg length discrepancy (LLD) include back pain and adopting bad posture. After failure of conservative treatment options, blocking of the growth plates (epiphysiodesis) around the knee emerged as gold standard in patients with tall stature and LLD in the growing skeleton. Surgical planning includes growth prediction and evaluation of bone age. Since growth prediction is associated with a certain potential error, adequate planning and timing of epiphysiodesis are the key for success of the treatment. LLD corrections up to 5 cm can be achieved, and predicted extreme tall stature can be limited. Percutaneous epiphysiodesis techniques are minimally invasive, safe and efficient methods with low complication rates. In general, a multidisciplinary approach should be pursued when treating children and adolescents with tall stature.

The effect of leg length discrepancy upon load distribution in the static phase (standing)

2014 ◽  
Vol 40 (4) ◽  
pp. 561-563 ◽  
Author(s):  
V. Swaminathan ◽  
M. Cartwright-Terry ◽  
J.D. Moorehead ◽  
A. Bowey ◽  
S.J. Scott
Keyword(s):  
Load Distribution ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Length Discrepancy ◽  
Static Phase
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