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A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Europa Medicophysica 2000 March;35(1):19-29

language: English

Lower limb lenghtening in cases of short stature. New developments in rehabilitation

Zambito A. 1, Polo A. 2, Agostini S. 1, Aldegheri R. 3, Rizzuto N. 2, Floriani M. 4

1 Division of Orthopaedic Rehabilitation, COC Valeggio S/M, Italy;
2 Department of Neurological and Visual Sciences;
3 Institute of Orthopaedics, University of Verona, Verona, Italy;
4 Physiotherapist


The ­authors ­present an orig­i­nal reha­bil­i­ta­tion treat­ment meth­od in length­en­ing of the low­er ­limbs per­formed ­using the cal­lo­ta­si pro­ce­dure. The sur­gi­cal ther­a­py and reha­bil­i­ta­tion meth­od ­were stud­ied and devel­oped ­with lat­er mod­ifi­ca­tions at the Vero­na Uni­ver­sity Insti­tute of Ortho­paed­ics. The func­tion­al ­aspects of ­this sur­gi­cal and reha­bil­i­ta­tive pro­ce­dure are the fol­low­ing: ­cross-­over fix­a­tion ­system ­with ­prior tenot­o­my of the fas­cia ­lata and the ­Achille’s ten­don ­with a ­boot ­cast on the tibi­al ­side through­out dis­trac­tion; dis­trac­tion ­from post­op­er­a­tive day 5 at the ­rate of 1 mil­li­met­re per day in 4 suc­ces­sive dis­trac­tions; mon­i­tor­ing of ambu­la­to­ry auton­o­my and pos­tu­ral align­ment in the var­i­ous char­ac­ter­is­tic peri­ods of ­bone regen­er­a­tion, mus­cu­lar stretch­ing, and length­en­ing of the pos­te­ri­or kinet­ic ­chain, ­with aban­don­ing of the tra­di­tion­al pas­sive or assist­ed ­joint mobil­isa­tion ­system, at ­least as ­long as the fix­a­tion ­system ­screws are in ­place; hos­pi­tal ­stays ­reduced to a min­i­mum and fre­quent sur­gi­cal and func­tion­al ­checks on an out­pa­tient ­basis. ­Another fun­da­men­tal and char­ac­ter­is­tic ­aspect is ­prior inves­ti­ga­tion of the pres­ence of any cen­tral-­type neu­ro­log­i­cal dam­age due to skel­e­tal mal­for­ma­tion of the occip­i­tal fora­men and the spi­nal col­umn (typ­i­cal of ­most ­patients under­go­ing ­this ­type of sur­gery) or, ­more spe­cif­i­cal­ly, to spi­nal mal­for­ma­tions ­such as syrin­gom­ye­lia or teth­ered ­cord.

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