Department of Anatomy, Taipei Medical University, Taipei, Taiwan.
Aesthetic Plast Surg. 2010 Jun;34(3):335-9. doi: 10.1007/s00266-009-9445-6. Epub 2009 Nov 24.
Contour asymmetry of the legs is a major aesthetic concern among Asian women. This study enrolled 60 patients with asymmetric calf hypertrophy, defined as a differential calf circumference exceeding 0.6 cm. Differential selective neurectomy techniques, which depend on the sizes of the small and large calves, were performed exactly via a 1-cm popliteal wound. The pre- and postoperative mean differences between the larger and smaller calf circumferences at the 1-year follow-up consultation were 1.38 +/- 0.65 and 0.42 +/- 0.38 cm, respectively (p < 0.01). The reduction was significantly greater in the leg that was initially larger. The procedure was effective in reducing circumference discrepancies so that leg contours were more balanced. All the patients were able to ambulate normally within 5 months after the procedure without disability. The authors posit that differential neurectomy is a safe and reliable technique for the correction of asymmetric calf hypertrophy, with minimal morbidities.
腿部轮廓不对称是亚洲女性的主要美学关注点。本研究纳入了 60 名小腿不对称性肥大患者，其定义为小腿周径差异超过 0.6 厘米。通过 1 厘米的腘窝伤口，根据小腿大小实施精确的差异性选择性神经切断术。在术后 1 年的随访咨询中，较大和较小的小腿周径之间的术前和术后平均差异分别为 1.38 +/- 0.65 和 0.42 +/- 0.38 厘米（p < 0.01）。最初较大的腿的减少更为明显。该手术可有效减小周长差异，使腿部轮廓更加平衡。所有患者在手术后 5 个月内均可正常行走，无残疾。作者认为，差异性神经切断术是一种安全可靠的治疗方法，可纠正小腿不对称性肥大，且并发症极少。
