ArticleFrontiers in pediatrics2023
Results and complications of bilateral limb lengthening in achondroplasia: a retrospective analysis.
Article in Frontiers in pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.
- Efficacy and safety of limb lengthening in achondroplasia: A systematic review and meta-analysis.International orthopaedics · 2026Pooled it
- Aesthetic lower limb lengthening techniques: a systematic review of efficacy, complications, and patient satisfaction.Journal of orthopaedic surgery and research · 2025Pooled it
- Premature Consolidation of Regenerated Bone During Limb Lengthening with External Fixation in Achondroplastic Patients: Case Series and Literature Review.Journal of clinical medicine · 2026Article
- Treatment Efficiency Following Pediatric Tibial Lengthening Using Monolateral External Fixation: The Role of Surgical Planning and Postoperative Complications.Journal of clinical medicine · 2026Article
- Evaluation of nursing snippet-based intervention on parents' burden and self-efficacy towards caring for their children undergoing limb lengthening surgery.BMC nursing · 2026Article
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Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Achondroplasia is one of the main causes of disharmonic dwarfism. Patients with achondroplasia might have physical and psychological limitations due to their disproportionate stature. Surgical limb lengthening is the only practical option available to achieve a stature comparable to normal population range. The purpose of this study is to analyze results and complications of our lengthening protocol. Methods: A retrospective analysis was performed on 33 patients with achondroplasia (21 females and 12 males) undergoing simultaneous bilateral tibia or femur lengthening in four surgical stages from 2017 to 2021 (46 lengthening procedures, with a total of 56 tibias and 36 femurs). For each patient, patients' characteristics and antero-posterior and lateral radiographs were obtained. The following parameters were analyzed: duration of lengthening with external fixator, amount of lengthening, complications or events that influenced outcomes and the healing index (HI). Results: The average tibial and femoral gain was 7.9 cm and 6.9 cm, respectively. The tibiae achieved better results than the femurs ( Conclusions: Bilateral parallel lower limb lengthening in four surgical steps may be a viable technique in patients with achondroplasia.
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