van Cappelle H G, Visser J D
Academisch Ziekenhuis, afd. Orthopedie, Groningen.
Ned Tijdschr Geneeskd. 1995 Jul 29;139(30):1542-6.
Assessment of the results and complications of limb lengthenings according to Wagner and De Bastiani.
Retrospective.
University Hospital Groningen, the Netherlands.
Between 1978 and 1993, 10 Wagner and 23 De Bastiani limb lengthenings were performed on 16 patients with leg length discrepancy and 3 patients with short stature. The lengthening procedures were assessed for mean lengthening, healing index (treatment days per centimeter of lengthening) and complications. The residual length discrepancy was measured indirectly. Total gain in body height was measured in the short stature patients.
For the Wagner upper leg procedures the mean lengthening was 40 mm and the healing index 81 days/cm. For the lower leg these were 37 mm and 81 days/cm respectively, for the Bastiani lengthenings because of length discrepancy the figures were 70 mm and 46 days/cm (upper leg) and 53 mm and 52 days/cm (lower leg), and for short stature 74 mm and 46 days/cm (upper leg) and 57 mm and 55 days/cm (lower leg). There were 37 complications. Lengthening in 6 Wagner and 3 De Bastiani procedures was interrupted because of several of these complications. In 9 patients with length discrepancy the final result was satisfactory, 3 patients were not yet fully grown. Four patients had a residual length discrepancy of 2.5 to 3.5 cm. The short stature patients gained an average of 13.1 cm in height.
Limb lengthenings are accompanied by many complications and patients should be monitored intensively, but the results are usually good.
根据瓦格纳（Wagner）和德巴斯蒂亚尼（De Bastiani）方法评估肢体延长术的结果及并发症。
回顾性研究。
荷兰格罗宁根大学医学中心。
1978年至1993年间，对16例腿长不等患者和3例身材矮小患者实施了10例瓦格纳及23例德巴斯蒂亚尼肢体延长术。对延长手术的平均延长长度、愈合指数（每延长1厘米所需的治疗天数）及并发症进行评估。间接测量残余腿长差异。测量身材矮小患者的身高总增加值。
对于瓦格纳大腿手术，平均延长长度为40毫米，愈合指数为81天/厘米。小腿手术分别为37毫米和81天/厘米；对于因腿长不等而行德巴斯蒂亚尼延长术的患者，大腿手术的数据为70毫米和46天/厘米，小腿手术为53毫米和52天/厘米；对于身材矮小患者，大腿手术为74毫米和46天/厘米，小腿手术为57毫米和55天/厘米。共发生37例并发症。6例瓦格纳手术和3例德巴斯蒂亚尼手术因这些并发症中的几种而中断延长。9例腿长不等患者的最终结果满意，3例患者尚未完全发育成熟。4例患者的残余腿长差异为2.5至3.5厘米。身材矮小患者的身高平均增加了13.1厘米。
肢体延长术伴有许多并发症，应对患者进行密切监测，但结果通常良好。
