Description
In this comprehensive lecture, Dr. Robert Rozbruch discusses the implications of leg length discrepancies, emphasizing their impact on conditions like functional scoliosis, hip, and lower back issues. He focuses on traumatic growth arrest as a significant etiology and elaborates on various techniques, including the use of internal lengthening nails, to correct deformities and restore leg length. One case involves examining a valgus deformity stemming from a distal femur growth arrest, detailing how corrective interventions can reduce knee compartment overload. Dr. Rozbruch highlights the importance of surgical techniques like the reverse rule of thumb with blocking screws and fixator-assisted locking screw techniques for effective deformity correction. He also examines pediatric and adult cases separately, addressing the complexities of skeletal maturity, predicting growth plate behavior, and making surgical decisions accordingly. The lecture incorporates real patient examples, showing the multi-faceted approach to managing post-traumatic growth arrests in both children and adults, ultimately reinforcing the need for careful planning and consideration of growth potential during treatment.