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Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici

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

lingua: Inglese

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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