Sahin V, Argün M, Türk C Y, Baktir A, Gökçe A
Department of Orthopaedic Surgery and Traumatology, School of Medicine, Erciyes University, Kayseri, Turkey.
Tokai J Exp Clin Med. 1997 Mar;22(1):9-17.
Limb lengthening by the callotasis technique of De Bastiani and use of the Orthofix external fixator was performed on 25 femurs and tibias of 23 patients between June 1989 and March 1995 in our clinic. Twenty femoral and five tibial segments were lengthened. Simultaneous lengthening of the femur and tibia was performed in two limbs. The mean duration of follow-up was 35.4 months (range, 12 to 81 months). Age at surgery ranged from 9 to 25 years (16.4 years on average). Poliomyelitis was the most common cause (69.6%) of the leg length discrepancy. The maximal achieved lengthening was 8 cm and the shortest 4 cm, with an average of 5.11 cm (13.6% of original bone length). The mean healing index was 38.6 days/cm; the complication rate was 36%. We conclude that limb lengthening by the De Bastiani method is a satisfactory procedure for pediatric and adult patients with moderate limb-length discrepancies.
1989年6月至1995年3月期间，我们诊所对23例患者的25根股骨和胫骨采用德巴斯蒂亚尼（De Bastiani）骨痂延长技术及奥托菲克斯（Orthofix）外固定架进行肢体延长。其中20段股骨和5段胫骨被延长。两例患者同时进行了股骨和胫骨的延长。平均随访时间为35.4个月（范围12至81个月）。手术年龄为9至25岁（平均16.4岁）。小儿麻痹症是肢体长度差异最常见的原因（69.6%）。最大延长长度为8厘米，最短为4厘米，平均为5.11厘米（占原骨长度的13.6%）。平均愈合指数为38.6天/厘米；并发症发生率为36%。我们得出结论，对于患有中度肢体长度差异的儿童和成人患者，采用德巴斯蒂亚尼方法进行肢体延长是一种令人满意的手术。
