Paterson D
Adelaide Children's Hospital, Australia.
Clin Orthop Relat Res. 1990 Jan(250):27-33.
While there are new techniques for lengthening long bones, there are, nevertheless, contraindications and preoperative considerations for lengthening the femur or tibia, such as the presence of acetabular dysplasia, fixed deformity around joints, peripheral vascular and metabolic bone disease, and the age of the patient. Lengthening a long bone may be associated with many complications, especially in a congenitally short bone. It is important to anticipate and prevent complications, especially nonunion, subluxation of joints, muscle contractures, and neurologic complications. Lengthening of the femur and tibia are not for the occasional operator. However, as Bosworth noted in 1938, attention to great detail when lengthening the bone and skilled and detailed postoperative care will allow excellent results to be obtained. Time alone will tell what, biologically, is the best method for lengthening a long bone.
虽然存在延长长骨的新技术，但股骨或胫骨延长仍有禁忌症和术前注意事项，如髋臼发育不良、关节周围固定畸形、周围血管和代谢性骨病以及患者年龄等。延长长骨可能会引发许多并发症，尤其是在先天性短骨的情况下。预测并预防并发症非常重要，特别是骨不连、关节半脱位、肌肉挛缩和神经并发症。股骨和胫骨延长手术并非适合经验不足的医生。然而，正如博斯沃思在1938年所指出的，在延长骨骼时注重细节以及术后进行熟练细致的护理，将能取得出色的效果。时间会证明，从生物学角度来看，哪种方法是延长长骨的最佳方法。
