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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici
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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Europa Medicophysica 2000 Dicembre;35(4):197-204
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
A. ZAMBITO, A. POLO*, S. AGOSTINI, R. ALDEGHERI**
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
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.