Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Europa Medicophysica 2000 December;35(4) > Europa Medicophysica 2000 December;35(4):197-204

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

ORIGINAL ARTICLES   Freefree

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


PDF


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.

top of page