Exploring the Ethics of Stature Lengthening as Treatment for Height Dysphoria.

IF 1 Q3 ORTHOPEDICS Strategies in Trauma and Limb Reconstruction Pub Date : 2020-09-01 DOI:10.5005/jp-journals-10080-1502

Richard C Lee, Mark Aulisio, Raymond W Liu

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Abstract

Aim: To promote a discussion on the ethics and justifications of stature lengthening in patients without skeletal deformity.

Background: Stature lengthening for height gain in patients without skeletal deformity has stirred controversy within the orthopedic community. However, current literature does not delineate the ethical issues surrounding this procedure. Improvements in the techniques, technology, and safety profile of stature lengthening warrant an ethical discussion to challenge, justify, and guide the use of this surgical procedure.

Review results: Examination of ethical issues leads to the distinction between the dual roles of stature lengthening as a treatment vs an enhancement. The primary focus on stature lengthening as treatment allows for exploration of "height dysphoria"-a psychological burden caused by a dissatisfaction with one's height-as the primary pathology that may justify surgical intervention.

Conclusion: In our opinion, additional work is required to establish "height dysphoria" as a true pathology in order to ethically justify stature lengthening as a legitimate form of treatment. Further discussion is needed to address the ethics of stature lengthening as an enhancement.

Clinical significance: This paper addresses salient ethical issues of stature lengthening in patients without skeletal deformity by exploring historical, contemporary, and comparative contexts.

How to cite this article: Lee RC, Aulisio M, Liu RW. Exploring the Ethics of Stature Lengthening as Treatment for Height Dysphoria. Strategies Trauma Limb Reconstr 2020;15(3):163-168.

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探讨将身材延长术作为身高障碍治疗方法的伦理问题。

目的：促进对无骨骼畸形患者进行身材延长术的伦理和合理性的讨论：背景：对无骨骼畸形的患者进行身高延长术以增加身高，在整形外科界引起了争议。然而，目前的文献并没有对这一手术的伦理问题进行界定。身材延长术在技术、科技和安全性方面的改进需要进行伦理讨论，以质疑、证明和指导这种手术方法的使用：审查结果：对伦理问题的研究导致了身高延长术作为一种治疗手段和一种增强手段的双重作用之间的区别。将身高延长术作为治疗的主要重点，可以探讨 "身高障碍"--一种因对身高不满意而造成的心理负担--作为手术干预的主要病理原因：我们认为，还需要做更多的工作来确定 "身高障碍 "是一种真正的病理，以便从伦理角度证明身材延长术是一种合法的治疗方式。我们还需要进一步讨论将身高延长术作为一种增高手段的伦理问题：本文通过探讨历史、当代和比较背景，论述了对无骨骼畸形患者进行身材延长术的突出伦理问题：Lee RC, Aulisio M, Liu RW.探讨将身材延长术作为身高障碍治疗方法的伦理问题。Strategies Trauma Limb Reconstr 2020;15(3):163-168.

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来源期刊

Strategies in Trauma and Limb Reconstruction Medicine-Orthopedics and Sports Medicine

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1.50

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0.00%

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期刊介绍： Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.