Lokietek W, Legaye J
Acta Orthop Belg. 1989;55(2):119-28.
Different methods of lower limb lengthening are reviewed, related to delays in strengthening and type of callus: Wagner's technique (5 cases), decortication 3 weeks before osteotomy (1 case), and Ilizarov's technique (10 cases on 8 tibiae and 6 femurs). In 5 cases, decortication with osteotomy-closure and waiting 2 weeks before beginning lengthening, was performed. This was carried out at 1 mm/day. The type of fixator is unimportant. This technique allows a restitution of the tubular bone structure in 3 or 4 months in a periosteo-cortico-medullary callus.
回顾了不同的下肢延长方法,这些方法与强化延迟和骨痂类型有关:瓦格纳技术(5例)、截骨术前3周进行骨皮质剥脱术(1例)以及伊里扎罗夫技术(8例胫骨和6例股骨,共10例)。5例患者进行了截骨闭合时的骨皮质剥脱术,并在开始延长前等待2周。延长速度为每天1毫米。固定器的类型并不重要。该技术可在3至4个月内使骨膜 - 皮质 - 骨髓骨痂中的管状骨结构恢复。