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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

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

lingua: Inglese

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


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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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