Limb LengtheningGrowth Patterns After Lengthening of Congenitally Short Lower Limbs in Young ChildrenSabharwal, Sanjeev M.D., F.R.C.S.C.; Paley, Dror M.D., F.R.C.S.C.; Bhave, Anil P.T.; Herzenberg, John E. M.D., F.R.C.S.C.Author Information Study conducted at the Maryland Center for Limb Lengthening and Reconstruction, University of Maryland School of Medicine, Baltimore, Maryland, U.S.A. From New Jersey Medical School, Newark, New Jersey; *University of Maryland, Baltimore, Maryland, U.S.A. Address correspondence and reprint requests to Dr. D. Paley, Kernan Hospital, 2200 Kernan Drive, Baltimore, MD 21207, U.S.A. E-mail: stapa.ummc.umaryland.edu Journal of Pediatric Orthopaedics: March-April 2000 - Volume 20 - Issue 2 - p 137-145 Buy Abstract Summary: The purpose of this study was to assess growth patterns after lengthening of the congenitally short femur or tibia in children younger than 6 years. Twenty such children underwent 28 bone segment lengthenings (13 femora and 15 tibiae) by distraction osteogenesis. Our results show that femoral lengthening in children younger than 6 years does not lead to growth inhibition, whereas isolated femoral lengthening may be associated with growth stimulation. Isolated tibial lengthening in children younger than 6 years does not lead to growth inhibition, whereas simultaneous femoral and tibial lengthening or two tibial lengthenings in close succession can lead to tibial growth inhibition. Copyright © 2000 Wolters Kluwer Health, Inc. All rights reserved.