Havitcioglu Hasan, Gursan Onur, Isin Yagmur
Dokuz Eylül University Department of Orthopedic Surgery, İzmir, Turkey.
Kurtalan State Hospital Department of Orthopedic Surgery, Siirt, Turkey.
J Orthop. 2020 Jan 10;20:232-235. doi: 10.1016/j.jor.2020.01.003. eCollection 2020 Jul-Aug.
Distraction osteogenesis to correct deformity and limb-length discrepancy was defined by Ilizarov. Traditional distraction osteogenesis was made with circular external fixators or monolateral fixators commonly for deformity, and external fixators was related with pin site infections and pain due to soft-tissue transfixation. Nowadays, bone lengthening method is used with different intramedullary nail systems for cosmetic purposes.
From 2011 until 2018, a total of 9 patients (6 males and 3 females:16 femoral, 2 tibial), with constitutional short stature, to whom the intramedullary nail lengthening technique for cosmetic purposes had been applied, were retrospectively reviewed. The mean age was 28.3 while the mean height before the lengthening was 151 cm.
The mean lengthening gained in all patients were 8.7 cm. The mean follow-up period was 22 ± 11 months while the healing index with normal bone healing was 46.8 ± 16 months/cm. Complications that we noted were; insufficient bone regeneration (n = 2), quadriceps contracture (n = 1), proximal locking screw runaway (n = 1).
Bone lengthening for aesthetic purposes with different nail systems can be very safe and beneficial to the patients improving their social capabilities and self-confidence. Yet, patients should be well informed about the complications and risks of the lengthening surgery.
伊利扎洛夫定义了牵张成骨术用于矫正畸形和肢体长度差异。传统的牵张成骨术通常使用环形外固定器或单侧固定器来矫正畸形，而外固定器与针道感染以及因软组织穿针固定引起的疼痛有关。如今，出于美容目的，不同的髓内钉系统被用于骨延长方法。
回顾性分析了2011年至2018年期间共9例（6例男性和3例女性：16个股骨、2个胫骨）应用髓内钉延长技术进行美容的体质性身材矮小患者。平均年龄为28.3岁，延长术前平均身高为151厘米。
所有患者的平均延长长度为8.7厘米。平均随访期为22±11个月，正常骨愈合的愈合指数为46.8±16个月/厘米。我们注意到的并发症有：骨再生不足（2例）、股四头肌挛缩（1例）、近端锁定螺钉移位（1例）。
使用不同的髓内钉系统进行美容目的的骨延长对患者非常安全且有益，可提高他们的社交能力和自信心。然而，应让患者充分了解延长手术的并发症和风险。
