Zippel H, Lang K
Orthopädische Klinik, Klinikum Charite, Humboldt-Universität zu Berlin.
Zentralbl Chir. 1993;118(11):646-57.
This paper describes the experiences and results in 172 operative lengthening procedures on 134 patients, performed in the Orthopaedic Department of Charité Hospital in Berlin. The bone length increase was on an average 8.5 cm (min.: 1 cm, max.: 20 cm), this gives altogether a bone increase of over 14 meters. Patients are differentiated in groups of age, indication, localization, mode of procedure (callus-distraction, epiphysealdistraction) and in regard to the used external fixation devices. Authors present their own model of wire fixed external fixateur (so called "Berlin type-external fixateur"), a modification of the original Ilizarov-device. Importance of procedure-planning and time-balance as well as the high rates of complications (146 complications = 84.8%) are discussed.
本文描述了在柏林夏里特医院骨科对134例患者实施的172例手术延长术的经验和结果。骨长度平均增加8.5厘米(最小值:1厘米,最大值:20厘米),总计骨增长超过14米。患者按年龄、适应症、部位、手术方式(骨痂牵张、骨骺牵张)以及所使用的外固定装置进行分组。作者介绍了他们自己的钢丝固定外固定架模型(所谓的“柏林式外固定架”),这是对原始伊里扎洛夫装置的一种改良。讨论了手术规划和时间平衡的重要性以及高并发症发生率(146例并发症 = 84.8%)。