Bjerkreim I, Hellum C
Acta Orthop Scand. 1983 Apr;54(2):263-6. doi: 10.3109/17453678308996567.
Seventeen femoral lengthenings with an observation period of 1 year or more are reviewed. The mean leg length discrepancy was 6.9 cm, ranging from 3.8 to 14.8 cm. Mean lengthening was 5.8 cm, ranging from 3.6 to 10 cm. Osteosynthesis and bone grafting was done in all cases. Nonunion occurred in one lengthening, and five bones refractured. All failures, however, healed after reosteosynthesis. Transient peroneal paresis occurred in two cases, while in one case knee flexion was reduced to 55 degrees. In spite of minor pin-track drainage, no infections complicated the osteosynthesis. It is concluded that the Wagner procedure is an effective and fairly safe method for leg lengthening. Complications, however, are frequent and great caution is essential.
回顾了17例观察期为1年或更长时间的股骨延长术。平均腿长差异为6.9厘米，范围在3.8至14.8厘米之间。平均延长长度为5.8厘米，范围在3.6至10厘米之间。所有病例均进行了骨固定和植骨。1例延长术发生骨不连，5根骨头发生骨折。然而，所有失败病例经再次骨固定后均愈合。2例出现短暂性腓总神经麻痹，1例膝关节屈曲度降至55度。尽管针道有少量渗液，但骨固定未并发感染。结论是，瓦格纳手术是一种有效且相当安全的腿部延长方法。然而，并发症很常见，必须格外谨慎。
