Rehabilitation of Children After Operative Enlargement of Length of Limbs

V A Schurov

doi:10.11648/j.ajp.20170306.16

Abstract

Patients of different age with stunting one (85) or both extremities (153) discovered that in the remote terms after surgical lengthening of the limbs by Ilizarov increases stride length, but the scale of the change in length of the limbs is limited by the necessity of obtaining the effect of increasing the speed of locomotion defined by the degree of conservation than the maximum moment of muscle strength of the operated limb.

Highlights

Reducing the speed of locomotion in patients with limited abilities of the musculoskeletal system is the most important indicator of the decline in the quality of their life, limiting the involvement in the educational process, labor and social activity [1, 2]
In healthy children, for every centimeter of shank length increment, the moment of strength of the muscle-plantar flexor of the foot (PFF) increased by an average of 5.6% (R2 = 0.947), the moment of force of the аnterior flexor of the foot by 5.1% (R2 = 0.900)
In healthy children the maximum moment of muscle strength attained depends on the length of the leg

Summary

Introduction

Reducing the speed of locomotion in patients with limited abilities of the musculoskeletal system is the most important indicator of the decline in the quality of their life, limiting the involvement in the educational process, labor and social activity [1, 2]. Operative lengthening of lagging limbs in the growth should lead to an increase in the longitudinal dimensions of the body, and the length of the step, and the walking speed [3]. A large number of studies are devoted to clinical aspects of the method of operative limb elongation according to Ilizarov, while the dynamics of the state of the muscles during distraction, which determines the functional outcomes of treatment, has not been studied sufficiently [4, 5, 6, 7]. The search for permissible limb elongation scales was carried out empirically, by gradually increasing the amount of intervention and increasing, for example, the length of the legs with achondroplasia up to 18 cm [8] with apparent worsening of distant functional outcomes of treatment

Methods

Results

Conclusion