Osterman K, Merikanto J
Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.
J Pediatr Orthop. 1991 Jul-Aug;11(4):449-51. doi: 10.1097/01241398-199107000-00005.
In a series of 32 patients, the tibia was lengthened nine times and the femur 26 times. The lengthening was 4.1 cm in the tibia and 4.9 cm in the femur. The callotasis principle and atraumatic handling of the periosteum were considered important. The leg inequality was corrected appropriately, except in cases where the leg-length inequality was greater than 12 cm as a result of a progressive congenital deformity. Late femoral fractures occurred in six patients, but no tibial fractures were seen. One hip dislocation was seen after femoral lengthening, one talus deformation developed after the tibial lengthening, and one peroneal nerve entrapment was released operatively. One infection caused delayed bone union. Average follow-up time was 5.0 years.
在一组32例患者中，胫骨延长9次，股骨延长26次。胫骨延长4.1厘米，股骨延长4.9厘米。骨痂延长原则和骨膜的无创处理被认为很重要。除了因进行性先天性畸形导致腿长不等超过12厘米的病例外，腿部不等长得到了适当纠正。6例患者发生了晚期股骨骨折，但未见到胫骨骨折。股骨延长后出现1例髋关节脱位，胫骨延长后出现1例距骨变形，1例腓总神经卡压经手术松解。1例感染导致骨愈合延迟。平均随访时间为5.0年。
