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Chapter-156 Complications of Limb Lengthening: Role of Physical Therapy

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Bhave Arvind
ISBN
9789385891052
DOI
10.5005/jp/books/12869_157
Edition
3/e
Publishing Year
2016
Pages
3
Author Affiliations
1. Bharati Vidyapeeth Medical College, Pune, Maharashtra, India and Hon. Spine Surgeon and Spinal Endoscopist Deenanath Mangeshkar Hospital, Erandawana, Pune, Maharashtra, India Bhave Hospital, Parvati Industrial Estate Pune-Satara Road, Pune, Maharashtra, India, Deenanath Mangeshkar Hospital, Pune, Bhave Hospital, 48 Parvati Industrial Estate, Pune Satara Road, Pune (India), Bharati Vidyapeeth Medical College, Pune and Spine Surgeon, Deenanath Mangeshkar Hospital, Pune, India, Bharati Vidyapeeth Medical College; Deenanath Mangeshkar Hospital and Inlaks and Budhrani Hospital, Pune, Maharashtra, India, Bharati Vidyapeeth Medical College Pune; Deenanath Mangeshkar Hospital, Pune, Maharashtra, India, Spinal Injury Centre, Fukuoka, Japan, Hokkoido University, Sapporo, Japan, Fellow MISS, Korea; Bharati Vidyapeeth Medical college, Pune, maharashtra, India; Deenanth Mangeshkar hospital, Pune, maharashtra, India, Spine Clinic, Bhave Hospital, Pune, Maharashtra, India
Chapter keywords
Limb lengthening, physical therapy, muscle contractures, muscle weakness, joint stiffness, weight bearing, joint subluxation, nerve injury, refracture

Abstract

Complications of limb lengthening are divided into bony and soft tissue. Soft tissue complications arise because of the inadequate accommodation of the soft tissues as compared to the change in length of the bone and rate of change in length. Soft tissue complications that occur in limb lengthening include muscle contractures, muscle weakness, joint stiffness, weight bearing, joint subluxation, nerve injury, and refracture. Physical therapy plays a critical role in the process of limb lengthening and skeletal deformity correction by the Ilizarov’s method. The successful functional outcome is dependent on the quality and amount of physical therapy the patient receives.

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