uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Mended But Not healed: Somatic and Mental Health 10 Years after Leg Lengthening with Ilixarov
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Orthopaedics.
2014 (English)In: Depression and anxiety (Print), ISSN 1091-4269, E-ISSN 1520-6394, Vol. 3, no 2Article in journal (Refereed) Published
Abstract [en]

Objective: To study the somatic and mental health in patients who had leg lengthening (LL) in a 10-year follow-up and to compare it with the 1 year-follow-up. Earlier studies have demonstrated severe maladaptive reactions in children and adolescents on a short term basis but also that they tolerate it without sustained psychological impact. Cohort sequential longitudinal studies, in which individuals from different age groups are followed over time, are needed to tease apart aging and cohort effects. Methods: This was a prospective study with 28 patients, mean age of 20, who had undergone leg lengthening (LL) between 1997-2005 at the Department of Pediatric Orthopedics, Uppsala University Hospital. The somatic health was studied by a structured medical assessment of the reconstructed leg and an interview focused on the patient’s experiences of surgery, outcome and function. The mental health was studied by Beck depression- and the State-Trait Anxiety Inventories and a specially designed questionnaire for patient with LLI. Results: When the patients rated their mental health, 20 were within a normal level and 7 had symptoms of depression. Patients’ self-esteem was on a median level. Those who had scored highly on the depression inventory also had high levels on both State- and Trait anxiety scale. Conclusion: One fourth of the patients reported themselves to be depressed at the 10-year follow-up, while 7% of the patients were depressed one year after LL. Self-esteem results for the cohort were on a median level, both one and ten years after LL. Interview data demonstrated that the majority of patients were preoccupied with their LLI and more psychological support during the lengthening period would have been desirable. From available data we cannot conclude that the leg lengthening per se caused the depressive symptoms in the patients.

Place, publisher, year, edition, pages
2014. Vol. 3, no 2
Keyword [en]
Leg Lengthening, Adolescents; Mental Health, Somatic helath
National Category
Research subject
Psychology; Orthopaedics
URN: urn:nbn:se:uu:diva-239696DOI: 10.4172/2167-1044.1000151OAI: oai:DiVA.org:uu-239696DiVA: diva2:775106
Available from: 2014-12-30 Created: 2014-12-30 Last updated: 2015-01-12Bibliographically approved

Open Access in DiVA

fulltext(353 kB)124 downloads
File information
File name FULLTEXT01.pdfFile size 353 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Johansson Niemelä, BirgittaTjernström, Björn
By organisation
In the same journal
Depression and anxiety (Print)

Search outside of DiVA

GoogleGoogle Scholar
Total: 124 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 378 hits
ReferencesLink to record
Permanent link

Direct link