Mazeau Philippe, Assi Chahine, Louahem Djamel, L'Kaissi Mohamed, Delpont Marion, Cottalorda Jérôme
Department of Orthopaedics Pediatric, Lapeyronie Hospital, Montpellier, France.
J Pediatr Orthop B. 2012 Sep;21(5):394-9. doi: 10.1097/BPB.0b013e328354b029.
Thirty-six cases of femoral lengthening using the Albizzia nail were performed. The indication for lengthening was a congenital malformation, sequellae of trauma, of infection, of radiation therapy, short stature, and vascular malformation. The mean age of the patients was 16 years, the average lengthening achieved was 4.7 cm, and the follow-up period averaged 5.8 years. We found that bone consolidation was achieved faster than with external fixation. The patient's comfort during lengthening as well as the speed of functional restoration also improved. In three cases, the program failed, in six the lengthening was achieved with a second procedure, and eight patients required one ratcheting or more under general anesthesia. In our experience, the Albizzia nail is a simple and effective solution for uncomplicated femoral lengthening.
采用合欢树钉进行了36例股骨延长术。延长的适应证为先天性畸形、创伤后遗症、感染后遗症、放射治疗后遗症、身材矮小和血管畸形。患者的平均年龄为16岁，平均延长长度为4.7厘米，随访期平均为5.8年。我们发现，与外固定相比，骨愈合更快。延长过程中患者的舒适度以及功能恢复速度也有所提高。3例手术失败，6例通过二次手术实现延长，8例患者在全身麻醉下需要一次或多次棘轮操作。根据我们的经验，合欢树钉是单纯股骨延长的一种简单有效的解决方案。
