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WIE NIET WAAGT, DIE NIET WINT

WIE NIET WAAGT, DIE NIET WINT Continuing efforts to devise a satisfactory procedure for equalizing leg length in children who have been afflicted with poliomyelitis, trauma, or a congenital anomaly emphasize the inadequacy of most of the procedures available. Attempts have been made to stimulate bone growth, to arrest bone growth, to lengthen the affected leg, and to shorten the unaffected leg. Each has carried its own risk; none has guaranteed a perfect yield. In 1950 Janes and Jennings1 of the Mayo Clinic applied a century-old observation to the problem. In experimental studies on dogs, they were able to stimulate growth of an atrophic leg by creating a systemic arteriovenous fistula in the leg. Since that time they have used the iatrogenic fistula to treat approximately 100 children.2 Although it is still too soon for final evaluation, the preliminary results demonstrate the physiologic soundness of the procedure. Nevertheless, it, too, carries more than just http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

WIE NIET WAAGT, DIE NIET WINT

JAMA , Volume 184 (8) – May 25, 1963

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1963.03700210086016
Publisher site
See Article on Publisher Site

Abstract

Continuing efforts to devise a satisfactory procedure for equalizing leg length in children who have been afflicted with poliomyelitis, trauma, or a congenital anomaly emphasize the inadequacy of most of the procedures available. Attempts have been made to stimulate bone growth, to arrest bone growth, to lengthen the affected leg, and to shorten the unaffected leg. Each has carried its own risk; none has guaranteed a perfect yield. In 1950 Janes and Jennings1 of the Mayo Clinic applied a century-old observation to the problem. In experimental studies on dogs, they were able to stimulate growth of an atrophic leg by creating a systemic arteriovenous fistula in the leg. Since that time they have used the iatrogenic fistula to treat approximately 100 children.2 Although it is still too soon for final evaluation, the preliminary results demonstrate the physiologic soundness of the procedure. Nevertheless, it, too, carries more than just

Journal

JAMAAmerican Medical Association

Published: May 25, 1963

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