Journal Article10.2106/00004623-197759020-00006
A straight-line graph for leg-length discrepancies
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TL;DR: A series of cases of epiphyseodesis is presented, showing the straight-line graph method to be significantly more accurate than the so-called growth-remaining method, particularly in cases of growth inhibition.
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Abstract: A graphic method is presented that facilitates the recording and interpretation of data in cases of leg-length discrepancy It provides a mechanism for predicting future growth that automatically takes into account the child's growth percentile and the degree of growth inhibition in the short leg It can be used to predict the effects of corrective surgical procedures and to choose a surgical timetable A series of cases of epiphyseodesis is presented, showing the straight-line graph method to be significantly more accurate than the so-called growth-remaining method, particularly in cases of growth inhibition
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Citations
Juvenile Idiopathic Arthritis
TL;DR: The classification, differential diagnosis, and treatment of juvenile idiopathic arthritis are discussed.
98
Deficiencies of current methods for the timing of epiphysiodesis.
TL;DR: The routine use of serial Gruelich and Pyle skeletal-age data could not be shown to increase the accuracy in predicting outcome over serial chronologic- age data, and thus its value in limb-length inequality is limited.
88
Measurement variance in limb length discrepancy: clinical and radiographic assessment of interobserver and intraobserver variability.
Michael A. Terry,Jennifer J. Winell,Daniel W. Green,Robert J. Schneider,Margaret G. E. Peterson,Robert G. Marx,Roger F. Widmann,Roger F. Widmann +7 more
TL;DR: Slit scanogram radiographic measurement was evaluated and was the most reliable measurement technique, while direct measurement using a measuring tape on a full-length slit scanogram is more reliable than indirect measurement using horizontal lines drawn to a radiolucent ruler.
84
Lower-limb growth: how predictable are predictions?
Paula M. Kelly,Alain Dimeglio +1 more
TL;DR: The purpose of this review is to clarify the different methods of predictions for growth of the lower limb and to propose a simplified method to calculate the final limb deficit and the correct timing of epiphysiodesis.
Femoral lengthening over a humeral intramedullary nail in preadolescent children.
TL;DR: The technique is effective but has a high rate of complications, including osteomyelitis, which developed in two of the nine patients, and the results and complications are presented.
82
References
LENGTHS OF THE FEMUR AND THE TIBIA: Norms Derived from Orthoroentgenograms of Children from Five Years of Age Until Epiphysial Closure
TL;DR: The authors have been unable to find any published values for the lengths of the tibia and the femur which covered the adolescent years and which were applicable.
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Congenital short femur; simple femoral hypoplasia.
TL;DR: In this paper, the authors examined nineteen patients with congenital shortening of the femur without associated coxa vara and discussed the place of various surgical procedures to control limb length.
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Growth arrest for equalilzing leg lengths
J. Warren White,Sam G. Stubbins +1 more
TL;DR: The purpose in this paper is to popularize a simple surgical procedure which has been found to be of great value in solving the problem when in children one leg is enough shorter than the other to produce immediate or probable future disability.
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