EXTENSIVE LIMB LENGTHENING IN SHORT STATU RE

Purpose of the study The authors report their experience in limb lengt hening in 55 patients with short stature. Materials and methods Surgic al treatment must begin at the age of 13-15 years to obtain better col laboration from the patient which is necessary to obtain a good result . The general indication for surgery includes short stature between 11 0 and 150 cm. The major indication is disproportionate short stature. The authors have operated on some cases of short stature in which ther e was a disproportion between thighs and legs and other short stature without disproportion. In these patients they have tried to obtain the greatest lengthening compatible with good appearance. Results Examini ng the complications, the authors have noted that the rate of bone inf ections is clearly decreased, whereas non union, a frequent complicati on of the original Wagner method, has completely disappeared. The use of a circular device has not caused an increase of neurological compli cations, which on the contrary have diminished. Discussion Surgical le ngthening of the lower limbs in disproportionate dwarfism can lead to cosmetic, functional and psychological benefits. The treatment is long and demanding,for the surgeon and especially for the patient. For thi s reason it is necessary to carefully evaluate the motivations of the patient, who must be well aware of the achievable results as well as o f the possible complications.Conclusion Such a treament must be undert aken in specialized centers, not only owing to surgical difficulties, but especially because it requires a continuous clinical check and a s trong post-operative physiotherapy.