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World J Clin Cases. Aug 26, 2022; 10(24): 8482-8489
Published online Aug 26, 2022. doi: 10.12998/wjcc.v10.i24.8482
Complication of lengthening and the role of post-operative care, physical and psychological rehabilitation among fibula hemimelia
Maryam Salimi, Rojin Sarallah, Salar Javanshir, Seyed Peyman Mirghaderi, Amirhossein Salimi, Shokoufeh Khanzadeh
Maryam Salimi, Department of Orthopaedic Surgery, Shiraz University of Medical Sciences, Shiraz 71936-13311, Iran
Rojin Sarallah, Salar Javanshir, Department of Medicine, Islamic Azad University Medical Branch of Tehran, Tehran 713843809, Iran
Seyed Peyman Mirghaderi, Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran 7138433608, Iran
Amirhossein Salimi, Department of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd 7156893040, Iran
Shokoufeh Khanzadeh, Student Research Committee, Tabriz Sadoughi University of Medical Sciences, Tabriz 716534908, Iran
Author contributions: Salimi M performed the majority of the writing; Mirghaderi SP prepared the figures; Salimi A performed data accusation and writing; Sarallah R and Khanzadeh S provided the input in writing the paper; Javanshir S designed the outline and coordinated the writing of the paper.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Maryam Salimi, MD, Doctor, Research Assistant, Department of Orthopaedic Surgery, Shiraz University of Medical Sciences, Karim Khan Z and Boulevard, Shiraz 71936-13311, Iran. salimimaryam7496@gmail.com
Received: March 23, 2022
Peer-review started: March 23, 2022
First decision: April 13, 2022
Revised: April 27, 2022
Accepted: July 25, 2022
Article in press: July 25, 2022
Published online: August 26, 2022
Core Tip

Core Tip: Difficulties that occur during limb lengthening are not avoidable. Pin tract infections are considered the most common adverse effect of lengthening which should be prevented through prophylaxis and treated as soon as possible when occurred. Muscle contractures are usually a result of the tension generated on the muscle due to distraction. It can be managed by physiotherapy initially and surgically in later severe stages. Subluxation or dislocation during lengthening may have been attributed to the preexisting joint instability or imbalanced muscle tension that developed during lengthening. It often happens in the knee joint posteriorly.