Ueng W N, Shih C H
Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1995 Sep;18(3):254-9.
From January 1990 to December 1991, we treated 12 cases of length discrepancy due to femoral inequality with the technique of Ilizarov femoral lengthening. The patients' ages ranged from 20 to 33 years (average, 28 years). Of these, nine patients were men and three were women. Corticotomy was performed either at the distal metaphysis or at the junction of distal metaphysis and diaphysis. After a latency of seven to ten days, distraction commenced at a rate 0.25 mm every six to twelve hours. Bone generation was obtained in all patients without the need of bone grafting. The average length gained in femoral bone was 4.7 cms (range, 3 to 7 cms). The average duration of total treatment was 10.1 months (range, 7 to 15 months). The healing index was 2.2 (number of months per 1 cm elongation) on average. All patients were satisfied with the results, but all felt that it was an uncomfortable procedure. According to our experience, we conclude that the method of Ilizarov is an useful technique for femoral lengthening. However, it is an uncomfortable and tedious procedure.
1990年1月至1991年12月，我们采用伊利扎洛夫股骨延长技术治疗了12例因股骨不等长导致的肢体长度差异病例。患者年龄在20岁至33岁之间（平均28岁）。其中，9例为男性，3例为女性。截骨术在干骺端远端或干骺端与骨干交界处进行。经过7至10天的延迟期后，以每6至12小时0.25毫米的速度开始牵引。所有患者均未进行骨移植即实现了骨生成。股骨平均延长长度为4.7厘米（范围为3至7厘米）。总治疗平均时长为10.1个月（范围为7至15个月）。愈合指数平均为2.2（每延长1厘米所需月数）。所有患者对结果均满意，但都觉得该过程令人不适。根据我们的经验，我们得出结论，伊利扎洛夫方法是一种用于股骨延长的有效技术。然而，这是一个令人不适且繁琐的过程。
