Birch John G
Texas Scottish Rite Hospital for Children, Dallas, TX.
J Pediatr Orthop. 2017 Sep;37 Suppl 2:S1-S8. doi: 10.1097/BPO.0000000000001021.
In the last 35 years, orthopaedic surgeons have witnessed 3 major advances in the technique of limb lengthening: "distraction osteogenesis" facilitated by Gavriil Ilizarov method and infinitely-adaptable circular fixator with fine-wire bone fragment fixation; the introduction of the "6-strut" computer program-assisted circular fixators to effect complex deformity correction simultaneously; and the development of motorized intramedullary lengthening nails. However, the principles and associated complications of these techniques are on the basis of observations by Codivilla, Putti, and Abbott from as much as 110 years ago. This review notes the contribution of these pioneers in limb lengthening, and the contribution of Thor Heyerdahl principles of tolerance and diversity to the dissemination of Ilizarov principles to the Western world.
在过去35年里，骨科医生见证了肢体延长技术的三大进展：加夫里尔·伊里扎洛夫方法推动的“牵张成骨术”以及采用细钢丝固定骨碎片的无限适应性环形固定器；引入“六支柱”计算机程序辅助环形固定器以同时进行复杂畸形矫正；以及电动髓内延长钉的研发。然而，这些技术的原理及相关并发症是基于多达110年前科迪维拉、普蒂和阿博特的观察。本综述记录了这些肢体延长领域先驱者的贡献，以及索尔·海尔达尔的耐受和多样性原则对伊里扎洛夫原则在西方世界传播的贡献。
