Stanitski D F, Shahcheraghi H, Nicker D A, Armstrong P F
Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit, USA.
J Pediatr Orthop. 1996 Mar-Apr;16(2):168-72. doi: 10.1097/00004694-199603000-00006.
Between June 1987 and June 1992, 62 tibiae in 52 patients underwent lengthening by using the Ilizarov technique. Follow-up was from 18 months to 5 years. The mean age at surgery was 12.9 years (range, 5-19). The etiology of limb shortening was congenital in 53 and acquired in nine tibiae. Thirty-five tibiae had bifocal and 27 had unifocal treatment. Twenty-two of the 62 limbs had simultaneous treatment of other associated problems, including rotational or angular deformity or foot deformity. The average lengthening was 7.5 cm (range, 3.5-12), which was equivalent to a 32% average overall increase in limb-segment length (range, 6-96%). Complications required 28 (22%) unplanned procedures in the 62 tibiae, including nine osteotomies for iatrogenic malunion or deformation of regenerate bone (31%). Three tendo Achilles lengthenings and posterior ankle capsulotomies were required for persistent equinus contractures. Bony complications declined as experience with the technique increased. This technique allows simultaneous lengthening correction with control of the adjacent foot when required.
1987年6月至1992年6月期间，52例患者的62根胫骨采用伊里扎洛夫技术进行延长。随访时间为18个月至5年。手术时的平均年龄为12.9岁（范围5 - 19岁）。肢体短缩的病因中，53根胫骨为先天性，9根为后天性。35根胫骨采用双焦点治疗，27根采用单焦点治疗。62条肢体中有22条同时治疗了其他相关问题，包括旋转或成角畸形或足部畸形。平均延长长度为7.5厘米（范围3.5 - 12厘米），相当于肢体节段长度平均总体增加32%（范围6% - 96%）。62根胫骨中有28根（22%）因并发症需要进行计划外手术，其中9根因医源性骨不连或再生骨变形而进行截骨术（31%）。对于持续性马蹄足挛缩，需要进行3次跟腱延长术和后踝关节囊切开术。随着对该技术经验的增加，骨并发症有所减少。该技术允许在需要时同时进行延长矫正并控制相邻足部。
