Updates in the Management of Leg Length Discrepancy: A Systematic Review.
| Autor: | Althobaiti MS; Orthopedics, King Abdullah Medical Complex, Jeddah, SAU., Aloraini LI; Orthopedic Surgery, National Guard Hospital, Al Ahsa, SAU., Alamri S; Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Binsaddik OK; General Practice, Maternity and Children Hospital, Abha, SAU., Alobaysi YMY; General Practice, Tawiq Primary Health Center, Riyadh, SAU., Alabdulrahman FK; Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Al Shahrani OAS; Medicine, King Khalid University, Riyadh, SAU., Al-Awn RMM; Medicine and Surgery, King Khalid University Hospital, Abha, SAU., Shafiy GA; Plastic Surgery, Alnoor Specialist Hospital, Mecca, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jun 18; Vol. 16 (6), pp. e62599. Date of Electronic Publication: 2024 Jun 18 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.62599 |
| Abstrakt: | The aim of this study is to comprehensively investigate the recent literature on the management of leg length discrepancy (LLD). A thorough search of pertinent databases was done in order to find studies that satisfied the requirements for inclusion. A thorough search of PubMed, Web of Science, Scopus, and Science Direct was conducted to find pertinent literature. Rayyan Qatar Computing Research Institute (QRCI, Ar Rayyan, Qatar) was utilized during the whole operation. Eight studies, including a total of 345 patients, were included in our data, and 206 (59.7%) of them were males. Percutaneous epiphysiodesis was the surgical intervention of choice in four studies. LLD can be effectively corrected by temporary and permanent epiphysiodesis. One study reported the incidence of angular deformities following temporary epiphysiodesis. Circumferential periosteal and dual tension-band plating significantly reduced LLD, but reported the incidence of an "over-shoot" in some patients. Bilateral motion control shoes and orthotic insole both were found to improve the patient's gait and trunk symmetry, evidenced by longer and faster steps, reduced ground impact at heel strike, and lower peak plantar pressure in both limbs. Our findings confirm that no inferences about the superiority of a particular management approach for the treatment of LLD can be made. The poor quality of the studies shows that more randomized control trials and prospective studies on the subject are required. Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Althobaiti et al.) |
| Databáze: | MEDLINE |
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