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Experience with Seven Cases

JACK C. COOLEY, M.D.; ROBERT D. MUSSEY, M.D.; J. C. T. ROGERS, M.D.

AMA Arch Surg. 1960;80(5):838-842.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Discrepancy in length of the lower extremity can provide abnormalities in gait, cosmesis, and back mechanics. There are many varied attacks on this problem. Most of these have been basically aimed at either shortening the longer extremity, lengthening the short one, or a combination of both procedures.

Shortening the longer extremity can be done by actual bone shortening, by slowing growth by permanent epiphyseal destruction at the knee, or by temporary epiphyseal arrest at the knee. These operations have the distinct disadvantage of being performed on the normal or relatively normal extremity, and they also produce a person of permanently shorter stature.

Lengthening of the shorter extremity has been accomplished by direct surgical lengthening of the femur or tibia and fibula. A gain in the length of 2 or 3 in. can sometimes be attained in this manner. The various techniques of direct bone lengthening, however, are fraught with complications, . . . [Full Text PDF of this Article]

Author Affiliations
Urbana, Ill.

From the Section of Thoracic and Cardiovascular Surgery (Dr. Cooley), the Section of Orthopedic Surgery (Dr. Mussey), and the Department of Surgery (Dr. Rogers), Carle Memorial Hospital and Carle Hospital Clinic.

Footnotes
Read at the 67th Annual Meeting of the Western Surgical Association, Colorado Springs, Colo., Nov. 20, 1959.

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