NeuromuscularCircumferential Periosteal Sleeve Resection: Results in Limb-Length Discrepancy Secondary to PoliomyelitisD'Souza, Harold M.S., D.N.B.; Shah, Navin M. M.S., F.R.C.S.Author Information Study conducted at Children's Orthopaedic Hospital, Mumbai, India From Children's Orthopaedic Hospital, Mumbai, India. Address correspondence and reprint requests to Dr. H. D'Souza, 52, Niranjan Housing Society, 2nd Floor, Pantnagar, Ghatkopar (E), Mumbai-400 075, India. Journal of Pediatric Orthopaedics: March 1999 - Volume 19 - Issue 2 - p 215-221 Buy Abstract We report the results of circumferential periosteal sleeve resection of lower-limb bones for mild degrees of limb-length discrepancy (mean, 3.5 cm) secondary to postpolio residual paralysis in 23 patients. Results were expressed by calculating percentage of length discrepancy of the operated-on limb with respect to the normal limb and gain in length in centimeters of the operated-on limb over the normal limb. All patients had a uniform trend of gain in length with response in the femur lasting for ∼1 year, whereas that in the tibia persisted >2 years. Circumferential periosteal sleeve resection is a safe and reliable method of longitudinal bone-growth stimulation, providing consistent results, especially for mild to moderate discrepancies. © 1999 Lippincott Williams & Wilkins, Inc.