Lee Richard C, Aulisio Mark, Liu Raymond W
Department of Bioethics, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States.
Strategies Trauma Limb Reconstr. 2020 Sep-Dec;15(3):163-168. doi: 10.5005/jp-journals-10080-1502.
To promote a discussion on the ethics and justifications of stature lengthening in patients without skeletal deformity.
Stature lengthening for height gain in patients without skeletal deformity has stirred controversy within the orthopedic community. However, current literature does not delineate the ethical issues surrounding this procedure. Improvements in the techniques, technology, and safety profile of stature lengthening warrant an ethical discussion to challenge, justify, and guide the use of this surgical procedure.
Examination of ethical issues leads to the distinction between the dual roles of stature lengthening as a vs an . The primary focus on stature lengthening as allows for exploration of "height dysphoria"-a psychological burden caused by a dissatisfaction with one's height-as the primary pathology that may justify surgical intervention.
In our opinion, additional work is required to establish "height dysphoria" as a true pathology in order to ethically justify stature lengthening as a legitimate form of treatment. Further discussion is needed to address the ethics of stature lengthening as an enhancement.
This paper addresses salient ethical issues of stature lengthening in patients without skeletal deformity by exploring historical, contemporary, and comparative contexts.
Lee RC, Aulisio M, Liu RW. Exploring the Ethics of Stature Lengthening as Treatment for Height Dysphoria. Strategies Trauma Limb Reconstr 2020;15(3):163-168.
推动关于无骨骼畸形患者身高延长的伦理及合理性的讨论。
为增加身高而对无骨骼畸形患者进行身高延长在骨科界引发了争议。然而，当前文献并未阐明围绕该手术的伦理问题。身高延长技术、工艺及安全性的改进需要进行伦理讨论，以对该手术的应用提出质疑、论证合理性并加以指导。
对伦理问题的审视揭示了身高延长作为一种[此处原文缺失部分内容]与另一种[此处原文缺失部分内容]的双重角色之间的区别。将身高延长主要视为[此处原文缺失部分内容]，有助于探讨“身高焦虑症”（一种因对自身身高不满而产生的心理负担）作为可能证明手术干预合理性的主要病理状况。
我们认为，需要开展更多工作来确立“身高焦虑症”为一种真正的病理状况，以便从伦理角度证明身高延长作为一种合理治疗形式的合理性。还需要进一步讨论身高延长作为一种增强手段的伦理问题。
本文通过探讨历史、当代及比较背景，阐述了无骨骼畸形患者身高延长的突出伦理问题。
Lee RC, Aulisio M, Liu RW. Exploring the Ethics of Stature Lengthening as Treatment for Height Dysphoria. Strategies Trauma Limb Reconstr 2020;15(3):163 - 168.
