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Anthropological assessment of biomechanically meaningful unilateral shortening of legs and solution by dribling epiphysiodesis: long-term results

Citace:
MAŘÍK, I., ZEMKOVÁ, D., MYSLIVEC, R., PETRÁŠOVÁ, Š., ČULÍK, J. Anthropological assessment of biomechanically meaningful unilateral shortening of legs and solution by dribling epiphysiodesis: long-term results. In 21st Congress of the European Society of Biomechanics Book of Extended Abstracts. ČVUT, 2015. s. 18. ISBN: 978-80-01-05777-3
Druh: STAŤ VE SBORNÍKU
Jazyk publikace: eng
Anglický název: Anthropological assessment of biomechanically meaningful unilateral shortening of legs and solution by dribling epiphysiodesis: long-term results
Rok vydání: 2015
Název zdroje: ČVUT
Autoři: Doc. MUDr. Ivo Mařík CSc. , RNDr. Daniela Zemková CSc. , MUDr. Radek Myslivec , Mgr. Šárka Petrášová , prof.ing. Jan Čulík DrSc.
Abstrakt EN: INTRODUCTION. Shortenings and deformities of legs at children are symptoms of genetic skeletal disorders, congenital limb defects, consequence of inflammation and injury of growth plates and/or the result of neurological diseases. Shortening 2 cm and more causes a limping and implicates asymmetrical overloading of the leg joints and spine, too. It is known that this overloading causes premature degenerative changes not only of big joints like gonarthrosis and coxarthrosis but also spondylosis and spondylarthrosis. We talk chain formation of disorder underneath and biomechanically meaningful shortentings represent so-called pre-osteoarthritis. Regulation of growth at the knee region by drilling epiphyseodesis [Macnicol, 1992] belongs to miniinvasive procedures in comparison with corrective osteotomies and lengthening of long bones. Epiphysiodesis carried out at the knee region is a method of choice for the equalization of shortenings 2 – 5 cm in growth period. Our contribution summarizes our many years ongoing experience with anthropological prediction of remaining growth of the leg lengths discrepancies and apropriate timing of the surgery.
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