Gekeler J, Dietz J, Schuler T M
Z Orthop Ihre Grenzgeb. 1982 Sep-Oct;120(5):729-34. doi: 10.1055/s-2008-1051386.
Predetermination of leg length discrepancy, which has to be expected in patients with congenital defects of the fibula, is very useful for the treatment program. Taking morphologic aspects and the principles of growth into consideration it is possible to predict quite accurately the final leg length in unilateral fibula defect. The prognosis is based on the finding, that the percentage longitudinal deficiency is constant during the growth of the lower limb. The calculation of the absolute leg length is done by assistance of the diagrams by Anderson and coworkers. The overall length discrepancy of unilateral hypoplasia of the fibula exceeds 8.5 cm. In cases of fibula aplasia a discrepancy of more than 10 cm. has to be expected. We saw this severe deformity on more than 50% of our cases. Experience supports the conclusion that preservation of the foot even by a number of reconstructive operations gives mostly better results than early amputation and provision of a prosthesis. There is a good chance to achieve limb-length equality by operations in cases of fibula hypoplasia type IA and IB. This chance is limited in hypoplasia type II and absence of the fibula.
对于患有先天性腓骨缺陷的患者，预期存在的腿长差异对于治疗方案非常有用。考虑到形态学方面和生长原理，有可能相当准确地预测单侧腓骨缺损患者的最终腿长。预后基于这样的发现，即下肢生长过程中纵向缺损的百分比是恒定的。绝对腿长的计算借助安德森及其同事的图表进行。单侧腓骨发育不全的总体长度差异超过8.5厘米。在腓骨缺如的情况下，预计差异超过10厘米。我们在超过50%的病例中看到了这种严重畸形。经验支持这样的结论，即即使通过多次重建手术保留足部，大多比早期截肢和安装假肢能取得更好的效果。在IA型和IB型腓骨发育不全的病例中，通过手术有很好的机会实现肢体长度相等。在II型发育不全和腓骨缺如的情况下，这种机会有限。
