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Limb Lengthening Using Wagnerʹs Technique

Introduction. Limb length discrepancy is a disabling anomaly that has many causes including congenital, traumatic and paralytic. This study was designed to evaluate results and complications of Wagnerʹs technique in lower limb lenghtening. Methods. In this retrospective study results of the Wagnerʹs technique in seventy paiteints during ten years were studied. Patients were followed for 1 to 9 years after operation with mean of 6 years. Results of operation, complications and paitients satisfaction were recorded. Results. Among the 70 paitients 71% were male and 29% were female. The average time of paitientsʹ hospitalization was 6 days for each of first and second satges. The tibial and femoral lengthening were performed in the 84% and 16% respectively. Limb lengthening achieved minimally 4-5 cm and maximally 10 cm (mean=6.6cm). In 73%, the cause of discrepancy was paralytic and the other causes were traumatic and congenital anomalies. Complications rate were 47% totally. The most common complication was pin tract infection that was threated conservatively. Results of operation and satisfaction of the patients were good in 85% and fair in 15%. Discussion. The Wagnerʹs method of limb lengthening is a safe and simple method, with low complications and we recommend it for the treatment of lower limb discrepancy yet.