Barinov Aleksander S, Vorobyev Aleksander A, Shtatov Viktor V, Barinova Ekaterina A, Nikolenko Vladimir N, Barinov Alexey N, Sinelnikov Mikhail Y
Volgograd State Medical University, Russian Federation, Volgograd, Russia.
Department of Normal Anatomy, Sechenov University and Department of Anatomy, Moscow State University, Moscow, Russia.
Plast Reconstr Surg Glob Open. 2020 Apr 24;8(4):e2793. doi: 10.1097/GOX.0000000000002793. eCollection 2020 Apr.
With the evolution of surgical techniques and increased availability of cosmetic orthopedic surgery, new complications manifest. Uncontrolled lower limb elongation without limitations can be achieved by disinformation and undergoing surgery in different countries. Patients receive excessive surgical intervention due to misinforming surgeons and clinics of their previous medical history. We present a previously undocumented case of excessive lower limb elongation in an adult male patient and a treatment method for this novel pathology. Lack of personal constraint and severe aesthetic discomfort led the patient to undergo 3 elongation procedures in 3 clinics in different countries. Correction of excessive elongation is a delicate procedure, which must account for previous medical history, the patient's psychological status, and strict adherence to anatomical standards. In this case, we managed to correct the complications from hyper-elongation by restoring the normal anatomical proportions of the lower limbs. The patient consented to publication of these findings and has undergone psychiatric evaluation in a specialized clinic after corrective surgery. It is important to properly educate patients of surgical risks and to evaluate all aspects of patient psychosomatic well-being before surgical intervention. Advances in aesthetic medicine underline the development of new iatrogenic pathologies. Excessive lower limb elongation can lead to significant musculoskeletal deformation, requiring precise surgical correction with account to normal anatomical proportions.
随着外科技术的发展以及美容整形外科手术可及性的提高，新的并发症出现了。通过虚假信息以及在不同国家接受手术，可以实现不受控制且无限制的下肢延长。由于向外科医生和诊所误报其既往病史，患者接受了过度的手术干预。我们报告了一例成年男性患者下肢过度延长的此前未记录的病例以及针对这种新病理情况的治疗方法。缺乏自我约束以及严重的美学不适导致该患者在不同国家的3家诊所接受了3次延长手术。纠正过度延长是一个精细的过程，必须考虑既往病史、患者的心理状态以及严格遵守解剖学标准。在该病例中，我们通过恢复下肢的正常解剖比例成功纠正了过度延长带来的并发症。患者同意发表这些发现，并且在矫正手术后在一家专业诊所接受了精神科评估。在手术干预前，正确告知患者手术风险并评估患者身心健康的各个方面非常重要。美容医学的进展突显了新的医源性病理情况的发展。下肢过度延长可导致显著的肌肉骨骼变形，需要根据正常解剖比例进行精确的手术矫正。
