Canuti M, Giorgi B, Valenti C
Servizio di Recupero Funzionale, CTO, Firenze.
Ital J Orthop Traumatol. 1988 Dec;14(4):483-91.
The effectiveness of the treatment of congenital leg length discrepancy depends on careful evaluation and selection before embarking on a programme of treatment. Over the years several types of surgery have been used to correct leg length discrepancy, starting with Codivilla (1905), who performed osteotomy followed by gradual transcalcaneal traction. This was succeeded by external fixators of various kinds. Unknown to most of the Western world, the Russian surgeon Ilizarov devised in 1950 an external fixation device which because of its mechanical and biological features could be applied to many orthopaedic and traumatological conditions. Since 1983 we have used this for the treatment of congenital dysmetria of the lower limbs resulting in leg length discrepancy.
先天性腿长不等的治疗效果取决于在开始治疗方案之前进行仔细的评估和选择。多年来，已经采用了几种手术方法来矫正腿长不等，最早是科迪维拉（1905年）进行的截骨术，随后是逐渐的跟骨牵引。后来出现了各种类型的外固定器。大多数西方世界并不知晓，俄罗斯外科医生伊里扎洛夫在1950年设计了一种外固定装置，由于其机械和生物学特性，可应用于许多骨科和创伤科病症。自1983年以来，我们一直使用这种装置治疗导致腿长不等的先天性下肢发育异常。
