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  • Title: Long-term results of leg length discrepancy treated with temporary epiphyseal stapling in children with juvenile chronic arthritis.
    Author: Skyttä ET, Savolainen HA, Kautiainen HJ, Belt EA.
    Journal: Clin Exp Rheumatol; 2003; 21(5):669-71. PubMed ID: 14611122.
    Abstract:
    OBJECTIVE: The aim of the present study was to evaluate retrospectively the long-term efficacy of temporary stapling of the knee epiphyses over four decades of use in children with JCA. METHODS: Medical data of the patients with temporary epiphyseodesis due to leg length discrepancy (LLD) were studied. Seventeen knees in 17 patients were found with sufficient follow-up data for evaluation. Patient documents and radiographs of these patients were evaluated. RESULTS: The mean age at the time of the operation was 11 years (range: 6-15) in 3 males and 14 females. The preoperative mean LLD was 21 mm (SD 8) and at staple removal 4 mm (SD 10). The difference was -17 mm (95% CI: -10 to -23). Statistically the result remained the same during the follow-up. Two reversible complications were documented among the 17 stapled knees. In five (29%) cases the correction was affected by re-occurrence of LLD quickly after removal of the staples. CONCLUSION: In this study with 17 patients and a wide range of follow-up times we found that the good correction of LLD achieved by stapling is usually permanent.
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