Marwan Yousef, Cohen Dan, Alotaibi Mohammed, Addar Abdullah, Bernstein Mitchell, Hamdy Reggie
Division of Orthopaedic Surgery, MGill University Health Centre, Montreal, Canada.
Division of Orthopaedic Surgery, MGill University Health Centre; Shriners Hospital for Children, Montreal, Canada.
Bone Joint Res. 2020 Jul 8;9(7):341-350. doi: 10.1302/2046-3758.97.BJR-2019-0379.R1. eCollection 2020 Jul.
To systematically review the outcomes and complications of cosmetic stature lengthening.
PubMed and Embase were searched on 10 November 2019 by three reviewers independently, and all relevant studies in English published up to that date were considered based on predetermined inclusion/exclusion criteria. The search was done using "cosmetic lengthening" and "stature lengthening" as key terms. The Preferred Reporting Item for Systematic Reviews and Meta-Analyses statement was used to screen the articles.
A total of 11 studies including 795 patients were included. The techniques used in the majority of the patients were classic 3- or 4-ring Ilizarov fixator (267 patients; 33.6%) and lengthening over nail (LON) (253 patients; 31.8%), while implantable lengthening nail (ILN) was used in the smallest number of patients (63 patients; 7.9%). Mean end lengthening achieved was 6.7 cm (SD 0.6; 1.5 to 13.0), and the mean follow-up duration was 4.9 years (SD 2.1; 41 days to 7 years). Overall, the mean number of problems, obstacles, and complications per patient was 0.78 (SD 0.5), 0.94 (SD 1.0), and 0.15 (SD 0.2), respectively. The most common problem and obstacle was ankle equinus deformity, while the most common complications were deformation of the regenerate after end of treatment and subtalar joint stiffness/deformity.
Cosmetic stature lengthening provides favourable height gain, patient satisfaction, and functional outcomes, with low rate of major complications. Clear indications, contraindications, and guidelines for cosmetic stature lengthening are needed.Cite this article: 2020;9(7):341-350.
系统评价美容性肢体延长的疗效和并发症。
2019年11月10日，三名研究者独立检索了PubMed和Embase数据库，并根据预先设定的纳入/排除标准纳入截至该日期发表的所有英文相关研究。检索时使用“美容延长”和“肢体延长”作为关键词。采用系统评价和Meta分析的首选报告项目声明筛选文章。
共纳入11项研究，涉及795例患者。大多数患者采用的技术是经典的3环或4环伊里扎洛夫固定器（267例患者；33.6%）和经钉延长术（LON）（253例患者；31.8%），而使用可植入延长钉（ILN）的患者最少（63例患者；7.9%）。平均最终延长长度为6.7 cm（标准差0.6；1.5至13.0），平均随访时间为4.9年（标准差2.1；41天至7年）。总体而言，每位患者的问题、障碍和并发症的平均数量分别为0.78（标准差0.5）、0.94（标准差1.0）和0.15（标准差0.2）。最常见的问题和障碍是马蹄足畸形，而最常见的并发症是治疗结束后再生骨变形和距下关节僵硬/畸形。
美容性肢体延长能带来良好的身高增加、患者满意度和功能结局，严重并发症发生率低。需要明确美容性肢体延长的适应证、禁忌证和指南。引用本文：2020；9(7):341-350。
