Foldyna K, Husták J, Pitrík J
Cas Lek Cesk. 1989 Nov 3;128(45):1421-2.
The authors submit results of surgical treatment of unequal extremities in 10 patients. In nine cases by gradual distraction the affected lower extremity was extended, in one female patient the upper extremity. Ilizarov-type fixation devices proved useful. The maximum attainable increment is 8-9 cm, in the described group a prolongation by 2-8.5 cm was achieved, the mean period of distraction being three months. Up to 4 cm the distraction was made at a rate of 1 mm per day. When extending the leg by more than 4 cm, also the Achilles tendon must be extended and a tibiofibular syndesmosis by means of a screw must be made. Indications for surgical prolongation of the extremities must be carefully contemplated.
作者报告了10例肢体不等长患者的手术治疗结果。9例通过逐步牵张延长了患侧下肢，1例女性患者延长了上肢。伊利扎罗夫式固定装置被证明是有用的。可达到的最大延长量为8 - 9厘米，在所描述的组中实现了2 - 8.5厘米的延长，平均牵张期为三个月。在4厘米以内，牵张速度为每天1毫米。当腿部延长超过4厘米时，还必须延长跟腱，并通过螺钉形成胫腓联合。必须仔细考虑肢体手术延长的适应症。
