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Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 3, 406-408
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery

Articles

Bilateral femoral shortening for unaccepted tallness

L Nordsletten, I Holm, H Steen, G Folleras, and I Bjerkreim

University of Oslo Orthopaedic Hospital, Norway.

We performed bilateral femoral shortening operations on 15 skeletally mature patients (11 women and four men). Their mean height pre-operatively was 193.5 cm and they were shortened by 5 to 9 cm. We used a subtrochanteric Z-osteotomy with an AO condylar plate in 11 patients, and mid-diaphyseal osteotomy with an intramedullary locking nail in four. After an average follow-up of 8.1 years, isokinetic muscle testing showed that muscle strength was reduced bilaterally in five patients. The strength ratio between hamstrings and quadriceps muscles was normal in all those treated by subtrochanteric shortening; in those shortened at the mid-shaft the quadriceps was relatively weaker. The result was rated as excellent by 11 patients, very good by three, and good by one.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General