J Bone Joint Surg Br. 1992 May;74(3):406-8.

Bilateral femoral shortening for unaccepted tallness.

Nordsletten L, Holm I, Steen H, Follerås G, Bjerkreim I.

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University of Oslo Orthopaedic Hospital, Norway.

Abstract

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.

PMID:: 1587889; [PubMed - indexed for MEDLINE]

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