Green S A
Problem Fracture Service, Rancho Los Amigos Medical Center, Downey, California.
Orthop Clin North Am. 1991 Oct;22(4):723-34.
The postoperative management of a patient having his or her limb lengthened requires frequent contact and close monitoring by the surgeon. Deformities and contractures cannot be allowed to persist or progress. The patient must be encouraged to bear weight on the lengthening limb, lest the newly formed bone fail to mature and corticalize properly. Pin- or wire-site sepsis should be treated aggressively; osteolysis around an implant suggests that additional transosseous fixation is needed. By following the principles outlined here, a surgeon will have the gratifying experience of elongating a stunted or deformed limb to an amount never before thought possible, and without undue problems or residual complications.
接受肢体延长手术患者的术后管理需要外科医生频繁接触并密切监测。不允许畸形和挛缩持续存在或进展。必须鼓励患者对延长的肢体进行负重，以免新形成的骨头无法正常成熟和皮质化。针道或钢丝部位的感染应积极治疗；植入物周围的骨质溶解表明需要额外的经骨固定。遵循此处概述的原则，外科医生将获得令人满意的经验，即将发育不良或畸形的肢体延长到前所未有的长度，且不会出现过多问题或残留并发症。
