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Alterations in Blood Pressure During Leg-Lengthening A CLINICAL AND EXPERIMENTAL INVESTIGATION
ZVI H. YOSIPOVITCH; YORAM PALTI
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Department of Orthopaedic Surgery, Hadassah University Hospital, Jerusalem, Israel Department of Physiology, Hebrew University-Hadassah Medical School, Jerusalem, Israel
1967 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1967; 49:1352-1358 
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Abstract

In twenty of twenty-four children whose legs were lengthened by closed osteoclasis of the tibia followed by slow distraction (Anderson's method) blood pressure increased by more than twenty millimeters of mercury during the lengthening period.

In seven dogs the tibia was similarly distracted and an increase in blood pressure occurred. This increase in blood pressure was shown to be a reflex response to tension developed in the sciatic nerve in the upper part of the thigh. It is possible that the reported blood-pressure elevation in human patients who undergo leglenthening is due to the same cause.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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