Whitaker Amanda T, Vuillermin Carley
Department of Orthopaedic Surgery, Boston Children's Hospital, 300 Longwood Ave, HU319, Boston, MA, 02115, USA.
Department of Orthopaedic Surgery, Nationwide Children's Hospital, 700 Children's Drive T2E-2709, Columbus, OH, 43205, USA.
Curr Rev Musculoskelet Med. 2016 Dec;9(4):454-461. doi: 10.1007/s12178-016-9373-4.
The pediatric lower extremity has well known growth patterns. When deformities or growth disturbances occur, there are several methods to measure and predict the resulting discrepancy, including the Green-Anderson, Moseley, and Multiplier methods. Many techniques exist to correct leg length discrepancy and deformity such and temporary epiphysiodesis, permanent epiphysiodesis, external fixators, and internal lengthening devices. All of these methods have numerous complications and limitations; however, with careful planning and patient selection, length and alignment can be improved with high patient satisfaction.
小儿下肢具有众所周知的生长模式。当出现畸形或生长紊乱时，有多种方法来测量和预测由此产生的差异，包括格林 - 安德森法、莫斯利法和乘数法。存在多种矫正腿长差异和畸形的技术，如临时骨骺阻滞术、永久性骨骺阻滞术、外固定器和内延长装置。所有这些方法都有许多并发症和局限性；然而，通过精心规划和患者选择，可以提高肢体长度和对线情况，并使患者满意度很高。
