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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

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)
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Europa Medicophysica 2000 December;35(4):197-204

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Functional outcome after lower-limb lengthening in short stature using the callotasis method

Zambito A. 1, Polo A. 2, Agostini S. 1, Aldegheri R. 3

1 Department of Orthopaedic Rehabilitation, University of Verona, Italy; 2 Department of Neurological and Visual Sciences, University of Verona, Italy; 3 Institute of Clinical Orthopaedics, University of Verona, Italy


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BACKGROUND: The ­authors ­review the func­tion­al out­come of 50 ­patients ­with ­short stat­ure who under­went sur­gi­cal length­en­ing of the low­er-­limbs ­with the cal­lot­a­sis meth­od ­used in Verona.
METHODS: The ­results are sub­di­vid­ed accord­ing to the ­type of pathol­o­gy and treat­ment and ­involve 200 oper­at­ed ­bone seg­ments ­with a fol­low-up of 4-6 ­years.
RESULTS: The aetio­lo­gy of ­short stat­ure is fre­quent­ly asso­ciat­ed ­with achon­dro­pla­sia and hypo­chon­dro­pla­sia, Turner’s syn­drome and idiopath­ic ­short stat­ure. As ­regards the ­type of treat­ment, we com­pare the old ­form of tra­di­tion­al treat­ment to the ­present day stan­dar­dised treat­ment. In the ­first ­case sur­gery was asso­ciat­ed ­with untreat­able func­tion­al ­loss and the aim of reha­bil­i­ta­tion was ­joint mobil­ity at all ­costs. The sec­ond ­type of sur­gi­cal treat­ment ­involves length­en­ing of the Achilles ten­don, ­bone dis­trac­tion in a plas­ter ­cast and reha­bil­i­ta­tion is ­based on pos­tu­ral align­ment and stretch­ing.
CONCLUSIONS: The func­tion­al out­come jus­ti­fies the ­less aggres­sive treat­ment and empha­sis­es the dif­fi­cul­ties, typ­i­cal of ­each ­type of pathol­o­gy, ­that are inher­ent in a com­plex and mul­ti­spe­cia­lis­tic oper­a­tion.

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