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Limb Lengthening & Deformity CorrectionConditions Treated Printer Friendly Page
External fixation can be used to correct limb length discrepancies and deformities with different causes including:
  1. Trauma, including growth plate fractures, malunion (where the bones heal crooked), nonunion (where bone heals incompletely), shortening and deformity due to bone loss.

  2. Congenital limb length discrepancies. These conditions are associated with many birth defects and deformities including short femur, fibular hemimela, pseudoarthrosis and hemiatrophy.

  3. Short stature including achondroplasia and other skeletal dysplasias and constitutional short stature. External fixators are effective in treating limb length discrepancies linked to dwarfism. Treatment may be appropriate in some cases in order to allow the patient to function more independently.

  4. Infection involving the bone (osteomylelitis) and joint (septic arthritis). Treatment of bone infection often requires removal of bone segments which may results in angular deformities and limb length discrepancies.

  5. Developmental causes which are related to the slowing of growth and limb deformities caused by illness such as Blount's Disease, which typically affects the bone development of overweight toddlers and adolescents.

  6. External fixators are also used in the treatment of pediatric hip disorders such as Developmental Coxa Vara (DCV), Perthes disease and Slipped Capital Femoral Epiphyses (SCFE).

  7. Joint stiffness following injury, infection or other causes can sometimes be addressed by controlled joint distraction (arthrodiatasis), with the use of external fixators.

  8. Soft tissue scarring such as after burns and multiple surgeries for club foot correction can be addressed with gradual distraction techniques.

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