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The first experiments involved stretching the bones in the arms and legs of people with chondrodysplasia. New techniques, involving artificial fractures, have been developed. Ilizarov's followers, Kaplunov and Yegorov, first used anthropometric cosmetology in Volgograd, Russia in 1992, on a healthy patient for strictly cosmetic purposes. [1]
In adults, surgery to detether (free) the spinal cord can reduce the size and further development of cysts in the cord and may restore some function or alleviate other symptoms. Although detethering is the common surgical approach to TCS, [25] another surgical option for adults is a spine-shortening vertebral osteotomy.
In some cases, children with hemihyperplasia may have different leg lengths. The two main surgical options for the treatment of uneven leg lengths are shortening and lengthening. Epiphysiodesis, which involves removing part of the growth plate of the longer leg, allowing the shorter leg to "catch up", may be performed on patients still able to ...
Depending on the severity of the deformities, the treatment may include the amputation of the foot or part of the leg, lengthening of the femur, extension prosthesis, or custom shoe lifts. Amputation usually requires the use of prosthesis. Another alternative is a rotationplasty procedure, also known as Van Ness surgery. In this situation the ...
Distraction osteogenesis (DO) is used in orthopedic surgery, and oral and maxillofacial surgery to repair skeletal deformities and in reconstructive surgery. [1] [2] [3] It was originally used to treat problems like unequal leg length, but since the 1980s is most commonly used to treat issues like hemifacial microsomia, micrognathism (chin so small it causes health problems), craniofrontonasal ...
Hip adduction is a strengthening exercise for the piriformis muscle. A cable attached at the ankle can be used to adduct the hip, bringing the leg in toward the opposite side of the body. The same equipment can also be used for hip abduction, where the leg starts beside the opposing leg and moves out to the side, away from the body.
Traction should not be used in femoral neck fractures or when there is any other trauma to the leg or pelvis. [ 12 ] [ 13 ] It is typically only a temporary measure used before surgery. It is only considered definitive treatment for patients with significant comorbidities that contraindicate surgical management.
the affected extremity is often shortened and unnaturally, externally rotated compared to the unaffected leg. The classic clinical presentation of a hip fracture is an elderly patient who sustained a low-energy fall and now has groin pain and is unable to bear weight. [5]