Repeated tibial lengthening as a stage of locomotor reconstruction in achondroplasia patients

Abstract

Objective To show that some achondroplasia cases of surgical locomotor reconstruction require repeated tibial lengthening to achieve optimal anthropometric parameters and review dynamics in reparative osteogenesis during repeated tibial lengthening using optical densitometry. Material and methods A group of patients who underwent double tibial lengthening included 25 achondroplasia and hypochondroplasia patients who underwent treatment at the Russian Ilizarov Scientific Centre “Restorative Traumatology and Orthopaedics” from 2000 to 2013. Results Review of dynamics in reparative osteogenesis revealed no specific course of the procedure. Conclusions Medical, ergonomic and esthetic aspects of achondroplasia treatment can partially be addressed by approaching anthropometric parameters to the biomechanical, ergonomic and esthetic standards through repeated lengthening of lower limb segments.