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Consequences of Malalignment

  • Chapter
Principles of Deformity Correction

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Abstract

All living organisms are limited to a finite life span, and humans are no exception. As with any mechanical system, the cumulative debilitating effects of time, wear, and gravity result in an almost imperceptible gradual degradation in performance. All our tissues are susceptible to these effects, although some are more resistant than others. Skin and bone are perhaps the most resilient tissues, and both have an amazing capacity for healing and regeneration that is the foundation of much of modern reconstructive surgery. Although articular cartilage is subjected to some of the highest mechanical demands, its capacity for repair and regeneration is unfortunately extremely limited and it is often among the first tissues to manifest the effects of aging. Remarkably, this relatively fragile tissue is responsible for transmitting loads exceeding several times our body weight for an estimated billion cycles during the course of an average lifetime. It is not surprising that any disturbance of the normal anatomic and biomechanical relationships can result in an acceleration of this gradual degradation characteristic of aging.

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Author notes

  1. Dror Paley MD, FRCSC (Director, Co-Director)

    Present address: The International Center for Limb Lengthening, Sinai Hospital, Baltimore, MD, USA

Authors and Affiliations

  1. Rubin Institute for Advanced Orthopedics, Sinai Hospital, 2401 West Belvedere Avenue, 21215-5271, Baltimore, Maryland, USA

    Dror Paley MD, FRCSC (Director, Co-Director)

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  1. Dror Paley MD, FRCSC
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© 2002 Springer-Verlag Berlin Heidelberg

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Paley, D. (2002). Consequences of Malalignment. In: Principles of Deformity Correction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59373-4_13

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  • DOI: https://doi.org/10.1007/978-3-642-59373-4_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63953-1

  • Online ISBN: 978-3-642-59373-4

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