Early Lengthening for Congenital Posteromedial Bowing of Tibia (CPMBT) is Effective and Safe

Description

This segment discusses congenital posteromedial bowing of the tibia, a rare disorder characterized by limb shortening and deformity, with a focus on treatment approaches. It highlights that as patients age, the length discrepancy tends to increase while the deformity may lessen. The presentation contrasts single-stage lengthening with deformity correction against staged lengthenings, citing concerns about complications from large adjustments. The text emphasizes the benefits of performing limb lengthening in younger patients, detailing the outcomes and complications from a comprehensive 26-episode study involving 23 pediatric patients. Notably, it presents findings that younger children respond better to lengthening interventions, requiring less frame time and yielding fewer complications. The document concludes with a positive outlook on early intervention while showcasing patient experiences through illustrations of children during treatment.

DOI: 10.1302/3114-210172

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